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General NPI Number Information
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NPI Number | 1497239560
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Entity Type | Organization
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Legal Business Name | SARPY CHIROPRACTIC - MILLARD
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 4909 S. 135TH STREET STE 104
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City | OMAHA
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State | NE
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Zip | 68137-1657
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Country | US
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Telephone | 402-763-9955
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Fax | 402-763-9987
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Provider Business Mailing Address
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Address Line | 8114 S. 106TH STREET
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City | LAVISTA
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State | NE
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Zip | 68128-5791
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Country | US
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Telephone | 402-680-5553
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Fax | 402-763-9987
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY J SULLIVAN
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Credential | DC
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Telephone | 402-763-9955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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