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General NPI Number Information
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NPI Number | 1881659787
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Entity Type | Individual
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Provider Name | CURTIS LEE BOECK M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 601 N 30TH ST SUITE 3222
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City | OMAHA
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State | NE
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Zip | 68131-2128
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Country | US
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Telephone | 402-449-4847
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Fax | 402-449-4885
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Provider Business Mailing Address
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Address Line | 7261 MERCY RD
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City | OMAHA
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State | NE
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Zip | 68124-2311
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Country | US
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Telephone | 402-449-4847
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Fax | 402-449-4885
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 32453
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 208038
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License Number State | NE
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