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General NPI Number Information
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NPI Number | 1528028628
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Entity Type | Organization
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Legal Business Name | HOLMES LAKE FAMILY HEALTH CENTRE, P.C.
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6900 VAN DORN ST SUITE 24
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City | LINCOLN
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State | NE
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Zip | 68506-2882
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Country | US
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Telephone | 402-489-3200
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Fax | 402-489-5101
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Provider Business Mailing Address
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Address Line | 6900 VAN DORN ST SUITE 24
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City | LINCOLN
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State | NE
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Zip | 68506-2882
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Country | US
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Telephone | 402-489-3200
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Fax | 402-489-5101
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID MICHAEL SCHNEIDER
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Credential | M.D.
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Telephone | 402-489-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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