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General NPI Number Information
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NPI Number | 1487089611
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Entity Type | Organization
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Legal Business Name | HARLAN MEDICAL, LLC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 1307 HARLAN DR
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City | BELLEVUE
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State | NE
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Zip | 68005-3699
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Country | US
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Telephone | 402-291-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 HARLAN DR
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City | BELLEVUE
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State | NE
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Zip | 68005-3699
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Country | US
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Telephone | 402-291-8701
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE R MERTZ
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Credential |
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Telephone | 402-291-8701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 1447
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 22162
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License Number State | NE
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