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General NPI Number Information
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NPI Number | 1033008016
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Entity Type | Individual
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Provider Name | JULIUS C FRU RN
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Gender | Male
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 10824 OLD MILL RD
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City | OMAHA
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State | NE
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Zip | 68154-2642
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Country | US
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Telephone | 402-884-2490
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Fax | 402-884-2759
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Provider Business Mailing Address
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Address Line | 10824 OLD MILL RD
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City | OMAHA
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State | NE
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Zip | 68154-2642
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Country | US
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Telephone | 402-884-2490
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Fax | 402-884-2759
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 70276
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License Number State | NE
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