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General NPI Number Information
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NPI Number | 1043114929
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Entity Type | Organization
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Legal Business Name | FRIENDS OF CEDAR RIVER RASCALS INC.
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 205 NARAGANSETT ST
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City | ERICSON
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State | NE
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Zip | 68637-8049
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Country | US
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Telephone | 308-750-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 205 NARAGANSETT ST
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City | ERICSON
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State | NE
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Zip | 68637-8049
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Country | US
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Telephone | 308-750-0522
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Fax |
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Authorized Official
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Title or Position | PRIMARY CARE PROVIDER
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Name | COURTNEY PAPPAS
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Credential |
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Telephone | 605-877-1850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State | NULL
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