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General NPI Number Information
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NPI Number | 1184413080
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Entity Type | Organization
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Legal Business Name | LEADING MOTIVATING DEVELOPING SERVICES, LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 301 S 70TH ST # 360
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City | LINCOLN
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State | NE
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Zip | 68510-2469
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Country | US
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Telephone | 402-613-7198
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Fax | 402-613-7198
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Provider Business Mailing Address
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Address Line | 301 S 70TH ST # 360
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City | LINCOLN
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State | NE
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Zip | 68510-2469
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Country | US
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Telephone | 402-613-7198
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Fax | 402-613-7198
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Authorized Official
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Title or Position | CEO
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Name | MR. DANTE OWENS
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Credential | OWNER
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Telephone | 402-613-7198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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 | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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