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General NPI Number Information
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NPI Number | 1104279140
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Entity Type | Organization
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Legal Business Name | AINSWORTH BROWN COUNTY CARE CENTER
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 143 N FULLERTON ST
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City | AINSWORTH
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State | NE
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Zip | 69210-1515
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Country | US
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Telephone | 308-360-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 143 N FULLERTON ST
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City | AINSWORTH
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State | NE
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Zip | 69210-1515
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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 | ADMINISTRATOR
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Name | PENNY JACOBS
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Credential |
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Telephone | 402-387-1294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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