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General NPI Number Information
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NPI Number | 1083725386
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Entity Type | Individual
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Provider Name | TERRY L ROUNSBORG MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 555 S 70TH ST
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City | LINCOLN
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State | NE
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Zip | 68510-2462
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Country | US
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Telephone | 402-219-7142
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Fax | 402-219-8961
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Provider Business Mailing Address
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Address Line | 2000 Q ST STE 500
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City | LINCOLN
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State | NE
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Zip | 68503-3610
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Country | US
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Telephone | 402-421-0896
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Fax | 402-421-0945
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 17020
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License Number State | NE
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