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General NPI Number Information
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NPI Number | 1255729455
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Entity Type | Organization
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Legal Business Name | DAILY LIVING THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 02/27/2018
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Provider Practice Location 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 | 308-750-9467
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Fax | 308-210-8810
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Provider Business Mailing Address
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Address Line | 45255 ROAD 800
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City | ANSLEY
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State | NE
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Zip | 68814-5120
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Country | US
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Telephone | 308-636-8947
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VERONICA BOESER
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Credential | OTR/L
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Telephone | 308-636-8947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 1569
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License Number State | NE
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