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General NPI Number Information
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NPI Number | 1093877920
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Entity Type | Organization
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Legal Business Name | MOMS INC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 415 NORTH 66TH ST SUITE 8
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City | LINCOLN
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State | NE
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Zip | 68505
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Country | US
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Telephone | 402-464-6667
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Fax | 402-464-6669
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Provider Business Mailing Address
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Address Line | 415 NORTH 66TH ST SUITE 8
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City | LINCOLN
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State | NE
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Zip | 68505
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Country | US
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Telephone | 402-464-6667
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Fax | 402-464-6669
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Authorized Official
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Title or Position | VICE PRESIDENT SECRETARY
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Name | MRS. JOAN S PHILLIPS
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Credential |
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Telephone | 402-464-6667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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