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General NPI Number Information
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NPI Number | 1295816759
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Entity Type | Organization
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Legal Business Name | ALEGENT HEALTH BERGAN MERCY HEALTH CENTER
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 11704 W CENTER RD
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City | OMAHA
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State | NE
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Zip | 68144-4375
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Country | US
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Telephone | 402-333-3111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3548
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City | OMAHA
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State | NE
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Zip | 68103-0548
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Country | US
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Telephone | 402-717-7889
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EVERT KUIPER
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Credential |
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Telephone | 402-343-4420
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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 | ASC003
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License Number State | NE
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