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General NPI Number Information
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NPI Number | 1891720710
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Entity Type | Individual
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Provider Name | SHIRLEY ANN CLAASSEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 401 S FIFTH ST
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City | LYNCH
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State | NE
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Zip | 68746-3013
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Country | US
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Telephone | 402-569-3060
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 107
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City | BRISTOW
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State | NE
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Zip | 68719-0107
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Country | US
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Telephone | 402-569-3060
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 10454
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License Number State | NE
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