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General NPI Number Information
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NPI Number | 1053437947
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Entity Type | Organization
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Legal Business Name | HAPPY FOOTCARE, LLC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 206 S 13TH ST STE 703
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City | LINCOLN
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State | NE
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Zip | 68508-2040
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Country | US
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Telephone | 402-904-4602
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Fax | 402-904-4603
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Provider Business Mailing Address
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Address Line | 206 S 13TH ST STE 703
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City | LINCOLN
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State | NE
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Zip | 68508-2040
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Country | US
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Telephone | 402-904-4602
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Fax | 402-904-4603
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Authorized Official
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Title or Position | COMPLIANCE
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Name | MR. CURT B CARLSON
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Credential |
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Telephone | 402-904-4602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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