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General NPI Number Information
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NPI Number | 1023924388
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Entity Type | Organization
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Legal Business Name | DYNAMIC ABILITIES LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 3105 11TH AVE
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-5777
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Country | US
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Telephone | 402-813-3551
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Fax |
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Provider Business Mailing Address
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Address Line | 8936 N 78TH AVENUE CIR
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City | OMAHA
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State | NE
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Zip | 68122-4109
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Country | US
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Telephone | 402-813-3551
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASMINE MAXWELL
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Credential | CNA
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Telephone | 402-813-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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