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NPI 1518267822

NPI 1518267822 : BOB CROW BS, BSN, RN, DC, FNP : ASHLAND, NE

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General NPI Number Information
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    NPI Number           |    1518267822
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    Entity Type          |    Individual 
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    Provider Name        |    BOB CROW BS, BSN, RN, DC, FNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/02/2010
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    1700 FURNAS ST 
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    City                 |    ASHLAND
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    State                |    NE
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    Zip                  |    68003-1254
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    Country              |    US
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    Telephone            |    872-231-3162
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    Fax                  |    702-977-1496
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Provider Business Mailing Address
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    Address Line         |    PO BOX 74008272 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60674-8272
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    Country              |    US
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    Telephone            |    702-899-0595
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    Fax                  |    702-977-1496
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    0105360
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    144212
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    License Number State |    NE
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