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General NPI Number Information
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NPI Number | 1871977918
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Entity Type | Organization
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Legal Business Name | OMAHA TRIBE OF NEBRASKA
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 923 SENIOR CIRCLE
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City | MACY
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State | NE
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Zip | 68039-4018
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Country | US
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Telephone | 402-837-5381
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Fax | 402-837-5303
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | MACY
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State | NE
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Zip | 68039-0250
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Country | US
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Telephone | 402-837-5381
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Fax | 402-837-5303
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Authorized Official
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Title or Position | CEO
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Name | MS. SARAH ROWLAND
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Credential |
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Telephone | 402-837-5381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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