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General NPI Number Information
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NPI Number | 1417108333
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Entity Type | Individual
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Provider Name | WENDI GALE EISENBRAUN MOT, OTR-L
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 301 N 27TH ST SUITE 2
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City | NORFOLK
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State | NE
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Zip | 68701-4401
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Country | US
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Telephone | 402-844-8324
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Fax | 402-844-8292
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Provider Business Mailing Address
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Address Line | 301 N 27TH ST SUITE 2
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City | NORFOLK
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State | NE
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Zip | 68701-4401
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Country | US
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Telephone | 402-844-8324
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Fax | 402-844-8292
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1378
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License Number State | NE
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