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General NPI Number Information
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NPI Number | 1295737054
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Entity Type | Organization
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Legal Business Name | NEBRASKA SCOOTER MART LLC
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 415 N 66TH ST SUITE 1
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City | LINCOLN
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State | NE
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Zip | 68505-2429
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Country | US
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Telephone | 404-464-3900
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Fax | 402-464-3910
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Provider Business Mailing Address
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Address Line | 415 N 66TH ST SUITE 1
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City | LINCOLN
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State | NE
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Zip | 68505-2429
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Country | US
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Telephone | 404-464-3900
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Fax | 402-464-3910
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Authorized Official
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Title or Position | OWNER
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Name | MR. CURT WILLIAM WHITE
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Credential |
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Telephone | 402-464-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NE
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