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General NPI Number Information
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NPI Number | 1366330441
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Entity Type | Individual
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Provider Name | AMON M OSCAR
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Gender | Male
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 923 GALVIN RD S UNIT 10512106
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City | BELLEVUE
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State | NE
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Zip | 68005-2202
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Country | US
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Telephone | 513-253-5428
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Fax |
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Provider Business Mailing Address
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Address Line | 16524 CEDAR ST
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City | OMAHA
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State | NE
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Zip | 68130-1629
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Country | US
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Telephone | 513-765-0073
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Fax | 513-765-0073
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 115146
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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