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General NPI Number Information
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NPI Number | 1285381004
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Entity Type | Organization
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Legal Business Name | THE NEBRASKA AMBULATORY SURGICAL CENTER, LLC
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 5620 S.27TH STREET SUITE 200
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City | LINCOLN
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State | NE
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Zip | 68512
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Country | US
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Telephone | 531-249-5030
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Fax | 531-249-5040
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Provider Business Mailing Address
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Address Line | 5620 S.27TH STREET SUITE 200
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City | LINCOLN
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State | NE
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Zip | 68512
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Country | US
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Telephone | 531-249-5030
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Fax | 531-249-5040
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | CARLA JO LAUENSTEIN
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Credential | RN
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Telephone | 531-249-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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