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General NPI Number Information
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NPI Number | 1043026271
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Entity Type | Organization
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Legal Business Name | BLU MEDSTAFF, LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 11919 GRANT ST STE 202
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City | OMAHA
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State | NE
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Zip | 68164-3475
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Country | US
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Telephone | 402-251-5293
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Fax |
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Provider Business Mailing Address
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Address Line | 11919 GRANT ST STE 202
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City | OMAHA
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State | NE
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Zip | 68164-3475
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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 | CHIEF OPERATING OFFICER
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Name | JEFF ZIEGLER
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Credential |
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Telephone | 402-763-4842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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