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General NPI Number Information
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NPI Number | 1477590719
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Entity Type | Organization
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Legal Business Name | HASTINGS SURGICAL CENTER, LLC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 5803 OSBORNE DR W
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City | HASTINGS
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State | NE
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Zip | 68901-9158
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Country | US
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Telephone | 402-462-5441
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Fax |
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Provider Business Mailing Address
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Address Line | 5803 OSBORNE DR W
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City | HASTINGS
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State | NE
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Zip | 68901-9158
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Country | US
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Telephone | 402-462-5441
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Fax |
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Authorized Official
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Title or Position | BOARD CHAIR
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Name | WILLIAM TERRELL
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Credential |
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Telephone | 402-462-5440
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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 | ASC043
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License Number State | NE
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