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General NPI Number Information
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NPI Number | 1538256078
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Entity Type | Organization
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Legal Business Name | MADONNA REHABILITATION HOSPITAL
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/26/2017
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Provider Practice Location 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 | 402-413-3000
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Fax | 402-413-4113
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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 | 402-413-3000
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Fax | 402-413-4113
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. PAUL A. DONGILLI JR.
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Credential |
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Telephone | 402-413-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 507001
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License Number State | NE
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