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General NPI Number Information
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NPI Number | 1457460248
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Entity Type | Organization
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Legal Business Name | OSC LLC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 8051 W CENTER RD
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City | OMAHA
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State | NE
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Zip | 68124-3151
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Country | US
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Telephone | 402-391-3333
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Fax | 402-391-8593
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Provider Business Mailing Address
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Address Line | 6128 S LYNCREST AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57108-2560
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Country | US
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Telephone | 888-970-0501
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Fax | 605-274-6186
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JOSEPH TOWNLEY
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Credential | MD
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Telephone | 402-391-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | ASC020
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License Number State | NE
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