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General NPI Number Information
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NPI Number | 1992214076
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Entity Type | Individual
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Provider Name | ERIN RUTH MERRELL APRN
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Gender | Female
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 4220 L ST
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City | OMAHA
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State | NE
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Zip | 68107-1048
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Country | US
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Telephone | 402-733-4433
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Fax |
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Provider Business Mailing Address
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Address Line | 7261 MERCY RD
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City | OMAHA
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State | NE
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Zip | 68124-2311
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 69874
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A149312
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 113066
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License Number State | NE
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