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General NPI Number Information
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NPI Number | 1790530574
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Entity Type | Organization
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Legal Business Name | LMMC NORFOLK LLC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 2501 LAKERIDGE DR STE 104A
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City | NORFOLK
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State | NE
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Zip | 68701-2558
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Country | US
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Telephone | 402-973-1507
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 LAKERIDGE DR STE 104A
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City | NORFOLK
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State | NE
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Zip | 68701-2558
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS INTELLIGENCE
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Name | EMILY SCHROEDER
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Credential |
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Telephone | 402-525-8685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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