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General NPI Number Information
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NPI Number | 1457489619
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Entity Type | Organization
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Legal Business Name | CREIGHTON UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3802 RAYNOR PKWY SUITE 201
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City | BELLEVUE
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State | NE
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Zip | 68123-6048
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Country | US
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Telephone | 402-449-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 7732 S 71ST ST
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City | LAVISTA
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State | NE
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Zip | 68128-3045
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LEAD PHYSICAL THERAPIST
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Name | DR. JEFFREY LEE ARNOLD
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Credential | P.T., D.P.T, CSCS
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Telephone | 402-449-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 2139
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License Number State | NE
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