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General NPI Number Information
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NPI Number | 1255962536
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND HOME HEALTH
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 1181 IDYLWILD DR
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City | LINCOLN
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State | NE
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Zip | 68503-2037
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Country | US
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Telephone | 402-803-8819
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Fax |
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Provider Business Mailing Address
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Address Line | 1181 IDYLWILD DR
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City | LINCOLN
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State | NE
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Zip | 68503-2037
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Country | US
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Telephone | 402-803-8819
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANDRA LEE BODFIELD
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Credential | RN
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Telephone | 402-803-8819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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