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General NPI Number Information
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NPI Number | 1528209947
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Entity Type | Individual
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Provider Name | RICHARD MARTIN BERTACINI BC - HIS
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Gender | Male
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Dates
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Enumeration Date | 03/14/2009
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Last Update Date | 03/14/2009
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Provider Practice Location Address
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Address Line | 112 S 19TH ST
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City | BEATRICE
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State | NE
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Zip | 68310-4259
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Country | US
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Telephone | 402-228-3701
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Fax |
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Provider Business Mailing Address
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Address Line | 7131 LEIGHTON AVE
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City | LINCOLN
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State | NE
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Zip | 68507-2762
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Country | US
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Telephone | 402-440-0976
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Fax | 402-466-5336
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 699
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License Number State | NE
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