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NPI 1215078274

NPI 1215078274 : BARBARA J. DENNIS LMT : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1215078274
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA J. DENNIS LMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/10/2007
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    Last Update Date     |    08/26/2009
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Provider Practice Location Address
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    Address Line         |    7111 STEPHANIE LN 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68516-5300
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    Country              |    US
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    Telephone            |    402-420-0003
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    Fax                  |    402-486-7751
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Provider Business Mailing Address
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    Address Line         |    7900 A ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68510-4271
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    Country              |    US
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    Telephone            |    402-326-3326
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    508
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    License Number State |    NE
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