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General NPI Number Information
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NPI Number | 1972874899
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Entity Type | Organization
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Legal Business Name | PREMIER INTEGRATED HEALTH & WELLNESS, PC
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 4220 LUCILE DRIVE SUITE 2
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City | LINCOLN
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State | NE
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Zip | 68506-6004
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Country | US
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Telephone | 402-421-1411
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Fax | 402-421-1412
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Provider Business Mailing Address
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Address Line | 4220 LUCILE DRIVE SUITE 2
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City | LINCOLN
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State | NE
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Zip | 68506-6004
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Country | US
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Telephone | 402-421-1411
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Fax | 402-421-1412
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. KRISTIN JANELLE MORGAN
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Credential | D.C.
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Telephone | 402-421-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1698
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License Number State | NE
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