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General NPI Number Information
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NPI Number | 1114341948
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Entity Type | Organization
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Legal Business Name | URGENT CARE CLINIC OF LINCOLN, PC
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 07/27/2017
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Provider Practice Location Address
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Address Line | 4210 PIONEER WOODS DR STE A
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City | LINCOLN
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State | NE
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Zip | 68506-7561
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Country | US
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Telephone | 402-488-4321
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Fax | 402-488-4355
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Provider Business Mailing Address
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Address Line | 4210 PIONEER WOODS DR STE A
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City | LINCOLN
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State | NE
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Zip | 68506-7561
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Country | US
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Telephone | 402-488-4321
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Fax | 402-488-4355
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD T RICE
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Credential | MD
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Telephone | 402-488-4321
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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 | 20088
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License Number State | NE
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