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General NPI Number Information
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NPI Number | 1154592392
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Entity Type | Organization
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Legal Business Name | CONSULTANTS IN SURGICAL SPECIALTIES,PC
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Dates
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Enumeration Date | 03/16/2008
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 1500 S 48TH ST SUITE 709
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City | LINCOLN
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State | NE
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Zip | 68506-1276
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Country | US
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Telephone | 402-484-7600
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Fax | 402-484-7660
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Provider Business Mailing Address
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Address Line | 1500 S 48TH ST SUITE 709
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City | LINCOLN
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State | NE
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Zip | 68506-1276
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Country | US
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Telephone | 402-484-7600
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Fax | 402-484-7660
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEXANDER NEHME KINGSLEY
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Credential | M.D.
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Telephone | 402-484-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 17079
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License Number State | NE
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