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General NPI Number Information
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NPI Number | 1588904460
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Entity Type | Organization
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Legal Business Name | BLUE VALLEY COMMUNITY ACTION, INC.
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 620 5TH ST
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City | FAIRBURY
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State | NE
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Zip | 68352-2624
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Country | US
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Telephone | 402-729-2278
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Fax | 402-729-2801
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Provider Business Mailing Address
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Address Line | 620 5TH ST
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City | FAIRBURY
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State | NE
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Zip | 68352-2624
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Country | US
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Telephone | 402-729-2278
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Fax | 402-729-2801
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Authorized Official
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Title or Position | CEO
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Name | SHARI WURTZ-MILLER
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Credential |
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Telephone | 402-729-2278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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