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General NPI Number Information
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NPI Number | 1194183574
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Entity Type | Individual
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Provider Name | LUKAS RATHJEN
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Gender | Male
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 05/09/2017
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Provider Practice Location Address
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Address Line | 3912 H ST
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City | LINCOLN
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State | NE
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Zip | 68510-1629
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Country | US
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Telephone | 402-429-0182
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Fax |
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Provider Business Mailing Address
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Address Line | 3912 H ST
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City | LINCOLN
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State | NE
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Zip | 68510-1629
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Country | US
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Telephone | 402-429-0182
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1258999
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 43221
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License Number State | CA
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