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NPI 1962069310

NPI 1962069310 : STACY SVEEN APRN : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1962069310
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    Entity Type          |    Individual 
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    Provider Name        |    STACY SVEEN APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/21/2019
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    Last Update Date     |    06/18/2019
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Provider Practice Location Address
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    Address Line         |    1600 S 48TH ST STE 600 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68506-1299
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    Country              |    US
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    Telephone            |    402-483-3333
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    Fax                  |    402-483-3297
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6607 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68506-0607
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    Country              |    US
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    Telephone            |    402-483-3374
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    Fax                  |    402-483-3297
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    112828
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    License Number State |    NE
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