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General NPI Number Information
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NPI Number | 1326535410
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Entity Type | Organization
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Legal Business Name | HEALING HANDS OF NEBRASKA, PC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 701 PINNACLE DR STE 107
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City | PAPILLION
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State | NE
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Zip | 68046-6228
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Country | US
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Telephone | 402-370-9515
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Fax | 402-227-8245
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Provider Business Mailing Address
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Address Line | PO BOX 460910
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City | PAPILLION
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State | NE
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Zip | 68046-0910
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Country | US
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Telephone | 402-370-9515
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Fax | 402-227-8245
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. DEMETRIO J AGUILA III
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Credential | MD
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Telephone | 402-370-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 27722
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 27722
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License Number State | NE
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