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General NPI Number Information
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NPI Number | 1932146099
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Entity Type | Organization
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Legal Business Name | KEARNEY IMAGING CENTER LLC
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3219 CENTRAL AVENUE STE 109
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City | KEARNEY
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State | NE
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Zip | 68847-2949
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Country | US
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Telephone | 308-865-2680
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Fax | 308-238-2254
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Provider Business Mailing Address
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Address Line | PO BOX 2528
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City | KEARNEY
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State | NE
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Zip | 68848-2528
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Country | US
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Telephone | 308-865-2230
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Fax | 308-238-2254
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Authorized Official
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Title or Position | VICE CHAIRPERSON
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Name | DANIEL L FUERST
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Credential | MD
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Telephone | 308-865-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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