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General NPI Number Information
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NPI Number | 1083788103
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Entity Type | Organization
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Legal Business Name | MCGILL FAMILY PRACTICE PC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1502 S WASHINGTON ST STE 201
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City | PAPILLION
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State | NE
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Zip | 68046-3136
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Country | US
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Telephone | 402-505-9657
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Fax | 402-505-9658
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Provider Business Mailing Address
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Address Line | 2063 CREEK SIDE DR STE 115
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City | PAPILLION
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State | NE
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Zip | 68046-5103
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Country | US
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Telephone | 402-505-9657
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Fax | 402-505-9658
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JAYCI FOSTER
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Credential | MA
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Telephone | 402-505-9657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20633
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License Number State | NE
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