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General NPI Number Information
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NPI Number | 1326492802
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Entity Type | Individual
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Provider Name | ZACHARY W OMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 3563 PRAIRIEVIEW ST STE 200
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4434
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Country | US
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Telephone | 402-483-3333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860879
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0879
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Country | US
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Telephone | 402-483-3333
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 2575
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License Number State | NE
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