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General NPI Number Information
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NPI Number | 1174344618
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Entity Type | Organization
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Legal Business Name | REHABVISIONS THERAPY MO LLC
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 11336 S 96TH ST STE 114
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City | PAPILLION
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State | NE
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Zip | 68046-4211
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Country | US
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Telephone | 402-315-3603
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Fax | 402-315-3604
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Provider Business Mailing Address
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Address Line | 11623 ARBOR ST STE 200
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City | OMAHA
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State | NE
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Zip | 68144-2991
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Country | US
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Telephone | 402-334-6025
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Fax | 402-334-6025
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Authorized Official
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Title or Position | CLINIC ADMINISTRATIVE DIRECTOR
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Name | MRS. THERESA GODFREY
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Credential |
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Telephone | 402-334-6025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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