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General NPI Number Information
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NPI Number | 1922977271
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Entity Type | Organization
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Legal Business Name | NORTH PLATTE OPCO LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 510 CENTENNIAL CIR
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6586
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Country | US
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Telephone | 308-534-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 510 CENTENNIAL CIR
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6586
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Country | US
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Telephone | 917-543-4391
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED PERSON
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Name | ABRAHAM SMILOW
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Credential |
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Telephone | 917-543-4391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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