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General NPI Number Information
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NPI Number | 1114409984
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Entity Type | Organization
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Legal Business Name | PREMIER ORTHOPAEDICS LLC
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 8560 FOXTAIL DR STE 201
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City | LINCOLN
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State | NE
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Zip | 68526-6140
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Country | US
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Telephone | 402-219-3873
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Fax | 402-499-3245
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Provider Business Mailing Address
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Address Line | 8560 FOXTAIL DR STE 201
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City | LINCOLN
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State | NE
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Zip | 68526-6140
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Country | US
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Telephone | 402-219-3873
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Fax | 402-499-3245
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Authorized Official
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Title or Position | MANAGER
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Name | CHELE SMITH
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Credential |
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Telephone | 402-219-3873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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