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General NPI Number Information
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NPI Number | 1639640071
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Entity Type | Organization
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Legal Business Name | CSR COMPANY, INC.
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Dates
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Enumeration Date | 12/11/2018
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 11701 CENTENNIAL RD STE 2AND3
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City | LA VISTA
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State | NE
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Zip | 68128-5578
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Country | US
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Telephone | 402-738-4435
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Fax |
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Provider Business Mailing Address
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Address Line | 11701 CENTENNIAL RD STE 2AND3
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City | LA VISTA
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State | NE
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Zip | 68128-5578
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Country | US
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Telephone | 402-738-4435
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Fax |
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Authorized Official
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Title or Position | CEO/ OWNER
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Name | C. SCOTT REMINGTON
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Credential |
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Telephone | 402-731-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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