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General NPI Number Information
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NPI Number | 1487067518
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Entity Type | Organization
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Legal Business Name | SANDQUIST MFR THERAPY, LLC
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 3701 O ST SUITE 201K
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City | LINCOLN
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State | NE
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Zip | 68510-1600
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Country | US
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Telephone | 402-617-9904
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 O ST SUITE 201K
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City | LINCOLN
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State | NE
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Zip | 68510-1600
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Country | US
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Telephone | 402-617-9904
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. KATHRYN A SANDQUIST
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Credential | PT
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Telephone | 402-617-9904
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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 | 237
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License Number State | NE
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