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General NPI Number Information
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NPI Number | 1912737214
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Entity Type | Individual
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Provider Name | ALYSSA FRANZEN
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Gender | Female
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Dates
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Enumeration Date | 08/02/2024
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 601 W LEOTA ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6525
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Country | US
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Telephone | 308-568-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 910 23RD ST
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City | GOTHENBURG
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State | NE
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Zip | 69138-1211
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Country | US
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Telephone | 308-750-3163
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 88928
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 115578
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License Number State | NE
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