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NPI 1477152833

NPI 1477152833 : D & C SENIOR CARE : PAPILLION, NE

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General NPI Number Information
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    NPI Number           |    1477152833
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    Entity Type          |    Organization 
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    Legal Business Name  |    D & C SENIOR CARE 
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Dates
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    Enumeration Date     |    10/18/2020
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    Last Update Date     |    10/20/2021
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Provider Practice Location Address
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    Address Line         |    1401 E GOLD COAST RD STE 430 
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    City                 |    PAPILLION
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    State                |    NE
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    Zip                  |    68046-5748
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    Country              |    US
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    Telephone            |    402-331-3073
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1401 E GOLD COAST RD STE 430 
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    City                 |    PAPILLION
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    State                |    NE
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    Zip                  |    68046-5748
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    Country              |    US
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    Telephone            |    402-331-3073
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DENISE  MOSER 
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    Credential           |    
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    Telephone            |    402-331-3073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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