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General NPI Number Information
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NPI Number | 1215653837
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Entity Type | Organization
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Legal Business Name | KIDS N CRITTERS CONNECT
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 140500 S 14TH ST
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City | GERING
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State | NE
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Zip | 69341-6804
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Country | US
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Telephone | 303-501-7845
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Fax |
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Provider Business Mailing Address
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Address Line | 4409 BIRCH AVE
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4854
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Country | US
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Telephone | 303-501-7845
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. JENNY ELIZABETH JOHNSON
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Credential | PT
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Telephone | 303-501-7845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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