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General NPI Number Information
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NPI Number | 1528117751
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Entity Type | Organization
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Legal Business Name | UNION PACIFIC RR EMPLOYES HEALTH SYSTEM
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 221 S JEFFERS SUITE 2
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City | NORTH PLATTE
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State | NE
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Zip | 69101
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Country | US
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Telephone | 308-534-8886
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Fax | 308-534-7825
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Provider Business Mailing Address
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Address Line | 1040 NORTH 2200 WEST SUITE 200
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City | SALT LAKE CITY
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State | UT
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Zip | 84116
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Country | US
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Telephone | 801-595-4364
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Fax | 801-595-2064
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | MR. CURTIS HUGHES
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Credential | RPH
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Telephone | 801-595-4319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 1669
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1669
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License Number State | NE
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