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General NPI Number Information
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NPI Number | 1528212438
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Entity Type | Organization
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Legal Business Name | NEBRASKA MYOFUNCTIONAL SPECIALTIES
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 02/15/2014
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Provider Practice Location Address
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Address Line | 8911 WHISPERING WIND RD
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City | LINCOLN
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State | NE
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Zip | 68512-9278
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Country | US
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Telephone | 402-759-1762
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Fax |
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Provider Business Mailing Address
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Address Line | 8911 WHISPERING WIND RD
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City | LINCOLN
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State | NE
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Zip | 68512-9278
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Country | US
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Telephone | 402-759-1762
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Fax |
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Authorized Official
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Title or Position | CERTIFIED OROFACIAL MYOLOGIST
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Name | PATRICIA LYNN BRINKMAN-FALTER
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Credential | PHRDH, BSDH, MS, COM
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Telephone | 402-759-1762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 67
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 613
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License Number State | NE
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