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General NPI Number Information
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NPI Number | 1558384842
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Entity Type | Organization
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Legal Business Name | TILDEN COMMUNITY HOSPITAL & RURAL HEALTH CLINIC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 306 W 2ND ST
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City | TILDEN
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State | NE
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Zip | 68781-4760
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Country | US
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Telephone | 402-368-9964
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Fax | 402-368-5675
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Provider Business Mailing Address
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Address Line | PO BOX 220 308 WEST 2ND
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City | TILDEN
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State | NE
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Zip | 68781-0220
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Country | US
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Telephone | 402-368-9964
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Fax | 402-368-5675
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Authorized Official
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Title or Position | CFO
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Name | MRS. SARAH MITCHELL
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Credential |
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Telephone | 402-368-5343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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