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General NPI Number Information
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NPI Number | 1124475827
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Entity Type | Organization
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Legal Business Name | INSPIRE OMAHA HEALTH LLC
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 205 GILES ST
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City | OMAHA
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State | TX
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Zip | 75571-4013
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Country | US
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Telephone | 718-916-7949
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Fax |
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Provider Business Mailing Address
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Address Line | 205 GILES ST
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City | OMAHA
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State | TX
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Zip | 75571-4013
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Country | US
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Telephone | 718-916-7949
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MARK STEG
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Credential |
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Telephone | 718-916-7949
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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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