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General NPI Number Information
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NPI Number | 1396967774
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Entity Type | Organization
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Legal Business Name | HEARTLAND SOFTWARE SERVICES, INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9905 SOUTH 176TH STREET
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City | OMAHA
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State | NE
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Zip | 68136
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Country | US
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Telephone | 402-740-0650
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Fax | 402-884-6637
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Provider Business Mailing Address
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Address Line | P.O. BOX 390442
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City | OMAHA
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State | NE
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Zip | 68139
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Country | US
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Telephone | 402-740-0650
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Fax | 402-884-6637
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Authorized Official
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Title or Position | OWNER
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Name | MR. WADE DOUGLAS WICKEY
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Credential |
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Telephone | 402-740-0650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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