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General NPI Number Information
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NPI Number | 1497952725
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Entity Type | Organization
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Legal Business Name | THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 908 N HOWARD AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803-3556
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Country | US
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Telephone | 308-384-4085
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Fax |
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Provider Business Mailing Address
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Address Line | 715 N KANSAS AVE SUITE 208
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City | HASTINGS
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State | NE
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Zip | 68901-4453
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Country | US
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Telephone | 402-460-5787
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. BRADLEY D NEET
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Credential | RN
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Telephone | 402-461-5108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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