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General NPI Number Information
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NPI Number | 1881985646
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Entity Type | Organization
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Legal Business Name | MED-CARE, INC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 920 E 56TH
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City | KEARNEY
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State | NE
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Zip | 68847
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Country | US
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Telephone | 308-237-9696
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Fax | 308-237-4517
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Provider Business Mailing Address
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Address Line | 603 N DIERS AVENUE SUITE 2
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City | GRAND ISLAND
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State | NE
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Zip | 68803
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Country | US
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Telephone | 308-398-1147
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Fax | 308-398-1149
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. J PAUL MEYER
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Credential | M.D.
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Telephone | 308-398-1147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 21104
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License Number State | NE
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