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General NPI Number Information
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NPI Number | 1396615084
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Entity Type | Organization
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Legal Business Name | E MEDICAL GROUP OF NEBRASKA NO 2 LLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 711 E 11TH ST STE A
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City | MC COOK
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State | NE
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Zip | 69001-3633
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Country | US
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Telephone | 308-217-3199
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Fax | 866-291-1541
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Provider Business Mailing Address
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Address Line | 2301 FM 1187, SUITE 203
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 817-539-2427
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELA W EDDINS
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Credential |
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Telephone | 817-469-6739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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