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General NPI Number Information
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NPI Number | 1255224747
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Entity Type | Organization
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Legal Business Name | UROLOGY CENTER PC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 10707 PACIFIC ST STE 101
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City | OMAHA
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State | NE
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Zip | 68114-4762
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Country | US
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Telephone | 402-397-7989
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Fax | 402-397-8703
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Provider Business Mailing Address
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Address Line | 105 S 90TH ST
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City | OMAHA
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State | NE
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Zip | 68114-3963
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Country | US
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Telephone | 402-397-9800
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Fax | 402-397-7591
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REBECCA J MCCRERY
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Credential | MD
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Telephone | 402-397-7989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number State |
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