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General NPI Number Information
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NPI Number | 1992052104
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Entity Type | Individual
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Provider Name | TERRA NICHOLE VEJRASKA APRN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 6050 VILLAGE DR
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City | LINCOLN
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State | NE
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Zip | 68516-4714
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Country | US
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Telephone | 402-421-8581
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Fax | 402-421-8594
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Provider Business Mailing Address
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Address Line | 6050 VILLAGE DR
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City | LINCOLN
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State | NE
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Zip | 68516-4714
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Country | US
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Telephone | 402-421-8581
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Fax | 402-421-8594
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 111396
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License Number State | NE
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