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General NPI Number Information
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NPI Number | 1376940379
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Entity Type | Organization
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Legal Business Name | ACCESS INSURANCE
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 916 VILLAGE SQ
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City | GRETNA
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State | NE
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Zip | 68028-7854
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Country | US
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Telephone | 402-544-4441
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Fax | 402-206-2222
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Provider Business Mailing Address
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Address Line | 916 VILLAGE SQ
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City | GRETNA
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State | NE
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Zip | 68028-7854
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Country | US
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Telephone | 402-504-4441
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Fax | 402-206-2222
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Authorized Official
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Title or Position | OWNER
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Name | NICK BOKOWSKI
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Credential |
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Telephone | 402-554-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 3195156
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License Number State | NE
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