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General NPI Number Information
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NPI Number | 1497781801
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Entity Type | Individual
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Provider Name | SAMUEL H MEHR
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Gender | Male
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 17201 WRIGHT ST STE 200
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City | OMAHA
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State | NE
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Zip | 68130-2042
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Country | US
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Telephone | 402-334-4773
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4460
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City | OMAHA
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State | NE
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Zip | 68104-0460
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Country | US
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Telephone | 866-491-5807
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Fax | 913-491-0411
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25649
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17144
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 17144
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 25649
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License Number State | IA
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