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General NPI Number Information
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NPI Number | 1750560439
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Entity Type | Organization
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Legal Business Name | FAMILY PHYSICIANS GROUP, PC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 770 N COTNER BLVD SUITE 205
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City | LINCOLN
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State | NE
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Zip | 68505-2310
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Country | US
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Telephone | 402-467-4661
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Fax | 402-467-5006
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Provider Business Mailing Address
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Address Line | 770 N COTNER BLVD SUITE 205
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City | LINCOLN
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State | NE
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Zip | 68505-2310
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Country | US
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Telephone | 402-467-4661
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Fax | 402-467-5006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER M MORIN
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Credential | M.D.
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Telephone | 402-467-4661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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