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General NPI Number Information
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NPI Number | 1346338092
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Entity Type | Organization
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Legal Business Name | RETINA CONSULTANTS OF THE MIDLANDS PC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 10707 PACIFIC ST STE 205
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City | OMAHA
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State | NE
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Zip | 68114-4762
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Country | US
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Telephone | 402-399-8055
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Fax | 402-399-8005
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Provider Business Mailing Address
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Address Line | 10707 PACIFIC ST STE 205
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City | OMAHA
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State | NE
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Zip | 68114-4762
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Country | US
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Telephone | 402-399-8055
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Fax | 402-399-8005
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD M MCGILL
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Credential | M.D.
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Telephone | 402-399-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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