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General NPI Number Information
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NPI Number | 1508843491
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Entity Type | Organization
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Legal Business Name | NEBRASKA CANCER CARE, LLC
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 815 N KANSAS AVE SUITE 100
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City | HASTINGS
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State | NE
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Zip | 68901-4470
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Country | US
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Telephone | 402-460-5899
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Fax | 402-460-5619
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Provider Business Mailing Address
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Address Line | 815 N KANSAS AVE SUITE 100
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City | HASTINGS
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State | NE
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Zip | 68901-4470
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Country | US
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Telephone | 402-460-5899
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Fax | 402-460-5619
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Authorized Official
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Title or Position | OWNER
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Name | ASHVINI SENGAR
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Credential | M.D.
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Telephone | 402-460-5899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 22433
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License Number State | NE
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