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General NPI Number Information
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NPI Number | 1740396068
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC & ARTHRITIS SURGERY CENTER PC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 810 DIERS AVENUE SUITE A
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City | GRAND ISLAND
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State | NE
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Zip | 68802
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Country | US
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Telephone | 308-381-0100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1588
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City | GRAND ISLAND
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State | NE
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Zip | 68802
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Country | US
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Telephone | 308-381-0100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRAL VARHAN
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Credential | MD
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Telephone | 308-381-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20634
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License Number State | NE
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