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NPI 1790287936

NPI 1790287936 : ZC MEDICAL, LLC : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1790287936
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZC MEDICAL, LLC 
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Dates
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    Enumeration Date     |    03/04/2018
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    Last Update Date     |    04/17/2018
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Provider Practice Location Address
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    Address Line         |    1400 N 48TH ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68504-3170
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    Country              |    US
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    Telephone            |    402-465-9101
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    Fax                  |    402-281-0818
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Provider Business Mailing Address
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    Address Line         |    4111 C ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68510-4630
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    Country              |    US
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    Telephone            |    402-499-0533
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-MANAGER
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    Name                 |    MR. JACOB WILLIAM CLINE 
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    Credential           |    
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    Telephone            |    402-499-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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