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General NPI Number Information
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NPI Number | 1952289571
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Entity Type | Organization
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Legal Business Name | NEBRASKA MEDICAL CLINICS PLLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 529 PINNACLE DR
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City | PAPILLION
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State | NE
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Zip | 68046-6242
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Country | US
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Telephone | 512-885-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 1860 S LAKELINE BLVD
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City | CEDAR PARK
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State | TX
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Zip | 78613-3872
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Country | US
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Telephone | 512-506-8503
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT ACCESS
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Name | NICOLE CAMPBELL
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Credential |
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Telephone | 512-260-2732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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