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General NPI Number Information
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NPI Number | 1306802327
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Entity Type | Organization
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Legal Business Name | CITY OF ELK HORN
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20602 LARAMIE RD
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City | ELKHORN
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State | NE
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Zip | 68022-1112
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Country | US
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Telephone | 402-547-2401
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Fax | 402-965-8594
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Provider Business Mailing Address
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Address Line | 20602 LARAMIE RD
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City | ELKHORN
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State | NE
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Zip | 68022-1112
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Country | US
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Telephone | 402-547-2401
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Fax | 402-965-8594
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. STEVEN G MORRISSEY
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Credential |
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Telephone | 402-572-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 102
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License Number State | NE
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