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General NPI Number Information
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NPI Number | 1194795930
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Entity Type | Individual
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Provider Name | RANDY PRESLER P.T
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 2403 S 133RD PLZ
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City | OMAHA
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State | NE
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Zip | 68144-5905
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Country | US
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Telephone | 402-330-8433
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Fax |
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Provider Business Mailing Address
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Address Line | 600 OAKMONT LN STE 600C
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City | WESTMONT
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State | IL
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Zip | 60559-5548
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Country | US
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Telephone | 630-575-6200
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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 | 571
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License Number State | NE
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