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General NPI Number Information
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NPI Number | 1003346982
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Entity Type | Organization
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Legal Business Name | GREATER SANDHILLS FAMILY HEALTHCARE, P.C.
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 102 W US HIGHWAY 20
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City | STUART
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State | NE
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Zip | 68780-5838
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Country | US
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Telephone | 402-924-3777
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Fax | 402-924-3776
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Provider Business Mailing Address
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Address Line | PO BOX 377
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City | STUART
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State | NE
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Zip | 68780-0377
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Country | US
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Telephone | 256-508-7509
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Fax | 402-924-3012
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELAINE A TUBBS
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Credential |
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Telephone | 256-508-7509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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