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General NPI Number Information
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NPI Number | 1881548881
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Entity Type | Organization
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Legal Business Name | DIFFERENT APPROACH LLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 2922 IZARD ST
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City | OMAHA
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State | NE
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Zip | 68131-1535
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Country | US
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Telephone | 531-203-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 322 N 43RD ST
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City | OMAHA
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State | NE
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Zip | 68131-2208
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Country | US
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Telephone | 531-203-6550
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JAKE MICHAEL SHADDY
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Credential |
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Telephone | 531-203-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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