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General NPI Number Information
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NPI Number | 1386657575
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Entity Type | Organization
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Legal Business Name | BLAHA & BLAHA INC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 1429 M STREET
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City | ORD
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State | NE
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Zip | 68862
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Country | US
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Telephone | 308-728-5922
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Fax | 308-729-7892
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Provider Business Mailing Address
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Address Line | 1429 M STREET
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City | ORD
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State | NE
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Zip | 68862
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Country | US
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Telephone | 308-728-5922
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Fax | 308-729-7892
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE OWNER
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Name | MICHAEL E BLAHA
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Credential | RP
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Telephone | 308-728-5922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 181
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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