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NPI Profile for SHANE VAN DORIN in OMAHA, NE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1396621918 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/12/2025 | |
| Last updated | 08/12/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SHANE VAN DORIN
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SHANE VAN DORIN