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General NPI Number Information
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NPI Number | 1245445790
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Entity Type | Organization
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Legal Business Name | CREIGHTON SAINT JOSEPH REGIONAL HEALTHCARE SYSTEM, L.L.C.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3802 RAYNOR PKWY
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City | BELLEVUE
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State | NE
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Zip | 68123-6048
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Country | US
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Telephone | 402-449-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 3802 RAYNOR PKWY
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City | BELLEVUE
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State | NE
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Zip | 68123-6048
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Country | US
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Telephone | 402-449-5858
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Fax |
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Authorized Official
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Title or Position | VP OF TAXATION, TENET HEALTHCARE
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Name | MR. DOUGLAS E. RABE
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Credential |
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Telephone | 469-893-2466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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