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General NPI Number Information
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NPI Number | 1770635104
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Entity Type | Organization
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Legal Business Name | CONSULTANTS IN GASTROENTEROLOGY PC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 6900 L ST STE 1
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City | LINCOLN
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State | NE
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Zip | 68510-2478
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Country | US
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Telephone | 402-441-5619
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Fax | 402-441-5606
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Provider Business Mailing Address
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Address Line | 6900 L ST STE 1
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City | LINCOLN
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State | NE
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Zip | 68510-2478
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Country | US
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Telephone | 402-441-5600
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Fax | 402-441-5606
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JODEE HUNT
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Credential |
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Telephone | 402-441-5619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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