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General NPI Number Information
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NPI Number | 1811913767
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Entity Type | Organization
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Legal Business Name | WEST HOLT MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 313 W PEARL ST
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City | ATKINSON
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State | NE
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Zip | 68713-4958
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Country | US
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Telephone | 402-925-2651
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Fax | 402-925-2652
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Provider Business Mailing Address
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Address Line | PO BOX 277
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City | ATKINSON
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State | NE
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Zip | 68713-0277
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Country | US
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Telephone | 402-925-2651
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Fax | 402-925-2652
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Authorized Official
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Title or Position | CFO
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Name | JEREMY BAUER
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Credential |
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Telephone | 402-925-1947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 687
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License Number State | NE
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