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General NPI Number Information
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NPI Number | 1437581154
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Entity Type | Organization
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Legal Business Name | NYE MEADOWS INC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 500 S 18TH ST
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City | NORFOLK
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State | NE
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Zip | 68701-4543
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Country | US
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Telephone | 402-371-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S 18TH ST
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City | NORFOLK
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State | NE
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Zip | 68701-4543
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Country | US
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Telephone | 402-371-1730
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | JASON DEAN HARNISCH
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Credential |
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Telephone | 402-753-6101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | NE
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