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General NPI Number Information
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NPI Number | 1376587824
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Entity Type | Individual
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Provider Name | GARY L. CHINGREN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 2207 OSBORNE DR W SUITE 100
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City | HASTINGS
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State | NE
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Zip | 68901-9112
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Country | US
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Telephone | 402-462-2139
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Fax | 402-462-2381
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Provider Business Mailing Address
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Address Line | 2207 OSBORNE DR W SUITE 100
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City | HASTINGS
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State | NE
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Zip | 68901-9112
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Country | US
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Telephone | 402-462-2139
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Fax | 402-462-2381
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 13053
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 04-20873
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.040175
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License Number State | OH
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