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General NPI Number Information
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NPI Number | 1962032292
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Entity Type | Individual
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Provider Name | BONNIE LANE VRBICKY PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/26/2020
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 2500 BELLEVUE MEDICAL CENTER DR
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City | BELLEVUE
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State | NE
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Zip | 68123-1591
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Country | US
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Telephone | 402-763-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 301 CHARLESTON DR
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City | PAPILLION
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State | NE
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Zip | 68133-2846
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Country | US
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Telephone | 402-852-6637
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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