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General NPI Number Information
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NPI Number | 1194003723
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Entity Type | Individual
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Provider Name | VERONICA JO BOESER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 318 W 18TH ST
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City | COZAD
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State | NE
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Zip | 69130-1110
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Country | US
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Telephone | 308-784-3715
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Fax | 308-784-3746
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Provider Business Mailing Address
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Address Line | 79145 ROAD 427
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City | BROKEN BOW
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State | NE
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Zip | 68822-5123
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Country | US
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Telephone | 308-636-8947
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Fax | 308-210-8810
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1569
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License Number State | NE
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