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General NPI Number Information
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NPI Number | 1487837696
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Entity Type | Organization
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Legal Business Name | MIDTOWN HEALTH CENTER, INC.
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 302 W PHILLIP AVE
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City | NORFOLK
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State | NE
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Zip | 68701-5248
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Country | US
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Telephone | 402-371-8000
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Fax | 402-371-0971
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Provider Business Mailing Address
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Address Line | 302 W PHILLIP AVE
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City | NORFOLK
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State | NE
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Zip | 68701-5248
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Country | US
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Telephone | 402-371-8000
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Fax | 402-371-0971
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHY NORDBY
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Credential |
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Telephone | 402-370-1060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | HC050
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | HC050
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | HC050
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | HC050
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | HC050
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License Number State | NE
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