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General NPI Number Information
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NPI Number | 1912544628
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Entity Type | Organization
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Legal Business Name | NTM CONSULTING PC
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 12/02/2019
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Provider Practice Location Address
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Address Line | 3500 CENTRAL AVE STE A
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City | KEARNEY
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State | NE
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Zip | 68847-2963
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Country | US
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Telephone | 308-237-2273
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Fax | 308-237-4515
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Provider Business Mailing Address
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Address Line | 3500 CENTRAL AVE STE A
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City | KEARNEY
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State | NE
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Zip | 68847-2963
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DO
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Name | DR. NICOLAS MANSUETTA
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Credential | DO
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Telephone | 308-237-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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