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General NPI Number Information
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NPI Number | 1326475781
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Entity Type | Organization
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Legal Business Name | NORFOLK PHYSCIAL THERAPY
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 1220 BENJAMIN AVE
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City | NORFOLK
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State | NE
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Zip | 68701-2769
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Country | US
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Telephone | 402-371-9707
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 448
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City | HUMPHREY
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State | NE
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Zip | 68642-0448
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Country | US
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Telephone | 402-640-0083
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Fax |
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Authorized Official
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Title or Position | DPT
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Name | DOUG JUNGE
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Credential |
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Telephone | 402-371-9707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 883
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License Number State | NE
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