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General NPI Number Information
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NPI Number | 1366269029
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Entity Type | Organization
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Legal Business Name | DIGESTIVE CARE SPECIALISTS OF NEBRASKA LLC
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 616 W LEOTA ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6532
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Country | US
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Telephone | 307-252-1100
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Fax | 307-202-5112
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Provider Business Mailing Address
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Address Line | PO BOX 31001-2907
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City | PASADENA
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State | CA
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Zip | 91110-2907
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Country | US
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Telephone | 307-262-5143
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. JEFFREY CLOUD
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Credential | MD
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Telephone | 308-252-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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