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General NPI Number Information
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NPI Number | 1336561323
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Entity Type | Organization
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Legal Business Name | MADONNA REHABILITATION SYSTEMS
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 2500 BELLEVUE MEDICAL CENTER DR 4TH FLOOR
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City | BELLEVUE
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State | NE
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Zip | 68123-1591
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Country | US
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Telephone | 402-884-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 SOUTH ST
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City | LINCOLN
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State | NE
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Zip | 68506-2150
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Country | US
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Telephone | 402-413-4222
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Fax | 402-413-4113
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT & CFO
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Name | MR. VICTOR J. WITKOWICZ
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Credential |
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Telephone | 402-413-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H000125
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License Number State | NE
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