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General NPI Number Information
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NPI Number | 1629159553
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Entity Type | Organization
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Legal Business Name | SARPY COUNTY OB/GYN, PC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 8419 S 73RD PLZ STE 107
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City | PAPILLION
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State | NE
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Zip | 68046-1507
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Country | US
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Telephone | 402-898-8500
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Fax | 402-898-8510
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Provider Business Mailing Address
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Address Line | 8419 S 73RD PLZ STE 107
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City | PAPILLION
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State | NE
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Zip | 68046-1507
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Country | US
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Telephone | 402-898-8500
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Fax | 402-898-8510
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Authorized Official
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Title or Position | AO
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Name | SEAN MCFADDEN
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Credential | MD
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Telephone | 402-898-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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