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General NPI Number Information
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NPI Number | 1881041390
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Entity Type | Organization
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Legal Business Name | TWO RIVERS PUBLIC HEALTH DEPARTMENT
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 05/17/2016
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Provider Practice Location Address
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Address Line | 701 4TH AVE SUITE 1
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City | HOLDREGE
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State | NE
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Zip | 68949-2255
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Country | US
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Telephone | 308-995-4778
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Fax | 308-995-4073
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Provider Business Mailing Address
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Address Line | 701 4TH AVE SUITE 1
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City | HOLDREGE
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State | NE
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Zip | 68949-2255
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Country | US
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Telephone | 308-995-4778
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Fax | 308-995-4073
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Authorized Official
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Title or Position | DIRECTOR
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Name | JEREMY ESCHLIMAN
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Credential |
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Telephone | 308-995-4778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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