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General NPI Number Information
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NPI Number | 1548520687
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Entity Type | Organization
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Legal Business Name | BELMONT VETERINARY CENTER
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 2200 CORNHUSKER HWY
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City | LINCOLN
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State | NE
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Zip | 68521-1456
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Country | US
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Telephone | 402-435-4947
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Fax | 402-435-5412
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Provider Business Mailing Address
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Address Line | 2200 CORNHUSKER HWY
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City | LINCOLN
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State | NE
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Zip | 68521-1456
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Country | US
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Telephone | 402-435-4947
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Fax | 402-435-5412
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Authorized Official
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Title or Position | VETERINARIAN
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Name | MR. TOM L HAUG
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Credential | DVM
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Telephone | 402-435-4947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 2219
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License Number State | NE
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