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General NPI Number Information
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NPI Number | 1285739615
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Entity Type | Organization
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Legal Business Name | FAITH REGIONAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 1500 KOENIGSTEIN AVE
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City | NORFOLK
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State | NE
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Zip | 68701-3664
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Country | US
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Telephone | 402-644-7439
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Fax | 402-644-7432
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Provider Business Mailing Address
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Address Line | PO BOX 869
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City | NORFOLK
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State | NE
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Zip | 68702-0869
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Country | US
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Telephone | 402-644-7144
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Fax | 402-644-7432
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JAMES J. SINEK
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Credential |
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Telephone | 402-644-7468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | LTCH025
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License Number State | NE
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