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General NPI Number Information
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NPI Number | 1124558754
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Entity Type | Organization
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Legal Business Name | VSL NORFOLK LLC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1203 N 13TH ST
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City | NORFOLK
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State | NE
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Zip | 68701-2609
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Country | US
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Telephone | 402-371-4991
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Fax | 402-371-7626
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Provider Business Mailing Address
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Address Line | 20220 HARNEY ST
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City | ELKHORN
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State | NE
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Zip | 68022-2063
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Country | US
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Telephone | 402-885-6120
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Fax | 402-895-8165
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Authorized Official
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Title or Position | CEO
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Name | JACK D VETTER
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Credential |
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Telephone | 402-895-3932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 524004
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License Number State | NE
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