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General NPI Number Information
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NPI Number | 1548331291
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Entity Type | Organization
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Legal Business Name | LINCOLN SURGICAL GROUP PC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 575 S 70TH ST STE 405
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City | LINCOLN
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State | NE
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Zip | 68510-2471
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Country | US
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Telephone | 402-483-7825
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Fax | 402-483-7839
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Provider Business Mailing Address
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Address Line | 575 S 70TH ST STE 405
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City | LINCOLN
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State | NE
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Zip | 68510-2471
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Country | US
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Telephone | 402-483-7825
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Fax | 402-483-7839
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MELISSA ROSENE
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Credential |
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Telephone | 402-484-3075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | NE
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