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General NPI Number Information
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NPI Number | 1487746657
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Entity Type | Organization
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Legal Business Name | VILLAGE OF WESTERN
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 107 N. WEST AVENUE
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City | WESTERN
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State | NE
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Zip | 68464-0446
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Country | US
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Telephone | 402-433-4551
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 446 107 N. WEST AVENUE
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City | WESTERN
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State | NE
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Zip | 68464-0446
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Country | US
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Telephone | 402-433-4551
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | RODNEY R. NICKEL
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Credential |
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Telephone | 402-433-4551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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