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General NPI Number Information
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NPI Number | 1942379516
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Entity Type | Individual
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Provider Name | JANET MAE BOCK M.S.N., A.P.R.N.,
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2001 PINE LAKE RD STE 200
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City | LINCOLN
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State | NE
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Zip | 68512-3604
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Country | US
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Telephone | 402-261-8313
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Fax | 866-321-6448
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Provider Business Mailing Address
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Address Line | 13643 W SARGENT RD
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City | BEATRICE
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State | NE
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Zip | 68310-7056
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Country | US
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Telephone | 402-223-3167
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 110019
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 110019
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License Number State | NE
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