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General NPI Number Information
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NPI Number | 1548058274
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Entity Type | Organization
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Legal Business Name | WERE LYMPHEDEMA THERAPY LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 9647 GILES RD
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City | LA VISTA
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State | NE
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Zip | 68128-2928
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Country | US
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Telephone | 402-204-5467
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Fax |
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Provider Business Mailing Address
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Address Line | 652 COYOTE CIR
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City | PAPILLION
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State | NE
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Zip | 68046-4395
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Country | US
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Telephone | 402-204-5467
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROSEMARY N WERE
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Credential | OT
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Telephone | 402-204-5467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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