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NPI 1215801261

NPI 1215801261 : SHANE ROBERT CURTIS : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1215801261
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    Entity Type          |    Individual 
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    Provider Name        |    SHANE ROBERT CURTIS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/02/2025
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    1870 S 75TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68124-1700
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    Country              |    US
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    Telephone            |    402-361-5700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    804 COURT ST 
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    City                 |    DUNLAP
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    State                |    IA
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    Zip                  |    51529-1423
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    Country              |    US
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    Telephone            |    402-813-6624
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    227800000X
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    Taxonomy Name        |    Certified Respiratory Therapist
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    License Number       |    3111
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    License Number State |    NE
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