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General NPI Number Information
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NPI Number | 1245281138
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Entity Type | Organization
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Legal Business Name | CRETE AREA MEDICAL CENTER
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2910 BETTEN DR
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City | CRETE
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State | NE
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Zip | 68333-3084
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Country | US
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Telephone | 402-826-2102
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Fax | 402-826-7950
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Provider Business Mailing Address
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Address Line | PO BOX 860873
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0873
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Country | US
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Telephone | 402-826-2102
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Fax | 402-826-7950
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JULIE LACY
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Credential |
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Telephone | 402-826-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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