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General NPI Number Information
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NPI Number | 1922339134
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Entity Type | Organization
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Legal Business Name | HEARTLAND URGENT CARE LP
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 965 S 27TH ST SUITE D
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City | LINCOLN
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State | NE
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Zip | 68510-3140
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Country | US
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Telephone | 402-477-3505
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Fax | 402-573-6279
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Provider Business Mailing Address
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Address Line | PO BOX 241632
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City | OMAHA
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State | NE
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Zip | 68124-5632
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Country | US
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Telephone | 402-343-1701
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Fax | 402-573-6279
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Authorized Official
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Title or Position | OWNER/APRN
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Name | DR. KATIEVIA RUSH WILKS
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Credential | APRN
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Telephone | 402-477-3506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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