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General NPI Number Information
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NPI Number | 1114345881
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Entity Type | Organization
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Legal Business Name | KLEINSCHMIDT PT, PC
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 829 F ST
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City | GENEVA
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State | NE
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Zip | 68361-2533
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Country | US
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Telephone | 402-871-9537
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Fax |
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Provider Business Mailing Address
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Address Line | 829 F ST
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City | GENEVA
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State | NE
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Zip | 68361-2533
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Country | US
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Telephone | 402-871-9537
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SCOTT A KLEINSCHMIDT
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Credential | MPT
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Telephone | 402-871-9537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2177
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License Number State | NE
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