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General NPI Number Information
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NPI Number | 1700844495
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Entity Type | Organization
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Legal Business Name | CENTRAL NEBRASKA IMAGING, LLC
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 2714 2ND AVE SUITE B
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City | KEARNEY
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State | NE
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Zip | 68847-4419
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Country | US
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Telephone | 308-237-2234
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Fax | 308-237-2255
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Provider Business Mailing Address
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Address Line | 501 N 87TH ST SUITE 100
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City | OMAHA
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State | NE
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Zip | 68114-2881
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Country | US
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Telephone | 402-397-7100
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Fax | 402-505-6949
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Authorized Official
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Title or Position | RADIOLOGIST
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Name | JAMES FRANCIS SMITH
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Credential | M.D.
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Telephone | 402-397-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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