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General NPI Number Information
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NPI Number | 1952708927
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Entity Type | Individual
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Provider Name | MIRANDA SHEETS
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Gender | Female
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 1923 W 4TH AVE
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City | HOLDREGE
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State | NE
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Zip | 68949-3113
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Country | US
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Telephone | 308-995-4493
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 GRAND AVE TRLR 11
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City | KEARNEY
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State | NE
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Zip | 68847-4121
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Country | US
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Telephone |
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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 | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | 916
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License Number State | NE
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