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General NPI Number Information
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NPI Number | 1528995735
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Entity Type | Individual
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Provider Name | SAVANNAH LUKASIEWICZ
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 2123 E 23RD AVE S # NE68025
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City | FREMONT
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State | NE
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Zip | 68025-2498
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Country | US
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Telephone | 402-721-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 MORIAH LN
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City | FORT CALHOUN
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State | NE
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Zip | 68023-5353
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Country | US
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Telephone |
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NE
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