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General NPI Number Information
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NPI Number | 1356345318
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Entity Type | Organization
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Legal Business Name | NEBRASKA ORTHOPAEDIC HOSPITAL LLC
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 2808 SOUTH 143RD PLAZA
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City | OMAHA
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State | NE
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Zip | 68144-5611
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Country | US
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Telephone | 402-637-0600
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Fax | 402-637-0705
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Provider Business Mailing Address
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Address Line | 2808 SOUTH 143RD PLAZA
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City | OMAHA
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State | NE
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Zip | 68144-5611
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Country | US
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Telephone | 402-637-0600
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Fax | 402-637-0705
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Authorized Official
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Title or Position | CFO
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Name | TARA L WISDOM
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Credential |
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Telephone | 402-609-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | H000105
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H000105
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License Number State | NE
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