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General NPI Number Information
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NPI Number | 1972015535
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Entity Type | Organization
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Legal Business Name | MIDLAND AREA AGENCY ON AGING
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 808 HOWARD AVE
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City | SAINT PAUL
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State | NE
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Zip | 68873-2049
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Country | US
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Telephone | 308-754-5452
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Fax | 308-754-6227
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Provider Business Mailing Address
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Address Line | 2727 W 2ND ST STE 440
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City | HASTINGS
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State | NE
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Zip | 68901-4684
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Country | US
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Telephone | 402-463-4565
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Fax | 402-463-1069
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Authorized Official
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Title or Position | DIRECTOR
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Name | CASEY MUZIC
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Credential |
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Telephone | 402-463-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NE
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