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General NPI Number Information
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NPI Number | 1306280565
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Entity Type | Organization
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Legal Business Name | MID-CONTINENT TECHNOLOGIES, LLC
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 3000 2ND AVE SUITE 204
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City | KEARNEY
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State | NE
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Zip | 68847-3507
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Country | US
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Telephone | 402-403-1348
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Fax | 877-810-8046
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Provider Business Mailing Address
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Address Line | 3000 2ND AVE SUITE 204
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City | KEARNEY
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State | NE
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Zip | 68847-3507
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Country | US
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Telephone | 402-403-1348
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Fax | 877-810-8046
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Authorized Official
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Title or Position | CEO
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Name | MR. DENNIS J SCHULZ
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Credential | J.D.
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Telephone | 402-889-7432
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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 | 01-11071729
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License Number State | NE
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