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General NPI Number Information
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NPI Number | 1356656623
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Entity Type | Organization
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Legal Business Name | PEOPLES FAMILY HEALTH SVC INC
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 102 S ELM ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5170
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Country | US
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Telephone | 308-534-3075
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Fax | 308-534-6104
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Provider Business Mailing Address
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Address Line | 102 S ELM ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5170
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Country | US
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Telephone | 308-534-3075
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Fax | 308-534-6104
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | PAM JOHNSON
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Credential |
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Telephone | 308-534-3077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 22
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License Number State | NE
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