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General NPI Number Information
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NPI Number | 1063558864
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Entity Type | Organization
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Legal Business Name | NEBCO ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 3401 E ELWOOD ST
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City | PHOENIX
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State | AZ
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Zip | 85040-1610
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Country | US
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Telephone | 602-296-6542
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Fax | 602-437-2594
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Provider Business Mailing Address
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Address Line | 16 HAWK RIDGE CIR
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-1861
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Country | US
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Telephone | 480-966-8377
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Fax | 480-736-9000
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Authorized Official
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Title or Position | MANAGER
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Name | ALAINA MACIA
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Credential |
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Telephone | 636-561-5686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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