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NPI 1841734233

NPI 1841734233 : R & V INC : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1841734233
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    Entity Type          |    Organization 
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    Legal Business Name  |    R & V INC 
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Dates
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    Enumeration Date     |    12/05/2016
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    Last Update Date     |    12/05/2016
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Provider Practice Location Address
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    Address Line         |    2701 S 10TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68108-1610
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    Country              |    US
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    Telephone            |    402-342-1731
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    Fax                  |    402-345-3922
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Provider Business Mailing Address
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    Address Line         |    2701 S 10TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68108-1610
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    Country              |    US
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    Telephone            |    402-342-1731
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    Fax                  |    402-345-3922
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Authorized Official
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    Title or Position    |    PHARMACIST
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    Name                 |     JASON  ENDERS 
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    Credential           |    
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    Telephone            |    402-342-1731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    1508
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    License Number State |    NE
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