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General NPI Number Information
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NPI Number | 1134216773
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Entity Type | Organization
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Legal Business Name | BRYAN MEDICAL CENTER
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 2300 S 16TH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3780
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Country | US
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Telephone | 402-475-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 S 48TH ST
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City | LINCOLN
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State | NE
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Zip | 68506-1299
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Country | US
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Telephone | 402-481-5792
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Fax | 402-481-4755
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ERIC N MOOSS
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Credential |
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Telephone | 402-481-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 500003
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License Number State | NE
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