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General NPI Number Information
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NPI Number | 1568520450
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CARE OF COLUMBUS P.C.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2485 39TH AVE
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City | COLUMBUS
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State | NE
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Zip | 68601-2256
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Country | US
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Telephone | 402-564-9575
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Fax | 402-562-7472
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Provider Business Mailing Address
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Address Line | 2485 39TH AVE
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City | COLUMBUS
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State | NE
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Zip | 68601-2256
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Country | US
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Telephone | 402-564-9575
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Fax | 402-562-7472
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCIA GOERING
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Credential | M.D.
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Telephone | 402-564-9575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 18870
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License Number State | NE
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