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General NPI Number Information
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NPI Number | 1720973043
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Entity Type | Organization
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Legal Business Name | COLFAX COUNTRY SENIOR CITIZENS CENTER INC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 124 E 12TH ST
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City | SCHUYLER
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State | NE
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Zip | 68661-1939
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Country | US
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Telephone | 402-352-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 124 E 12TH ST
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City | SCHUYLER
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State | NE
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Zip | 68661-1939
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Country | US
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Telephone | 402-352-5009
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JAIME MEINKE
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Credential |
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Telephone | 402-352-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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