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General NPI Number Information
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NPI Number | 1972602126
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR HEALTH LLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 302 S.JEFFERS ST.
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City | NORTH PLATTE
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State | NE
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Zip | 69101
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Country | US
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Telephone | 308-534-6687
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Fax | 308-534-1874
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Provider Business Mailing Address
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Address Line | 302 S.JEFFERS ST.
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City | NORTH PLATTE
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State | NE
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Zip | 69101
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Country | US
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Telephone | 308-534-6687
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Fax | 308-534-1874
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. LORETTA L. BACA
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Credential | M.D.
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Telephone | 13085346687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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