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General NPI Number Information
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NPI Number | 1568401982
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Entity Type | Organization
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Legal Business Name | PLATTE RIVER REHAB MEDICINE P.C.
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 321 E 3RD ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4032
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Country | US
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Telephone | 308-534-9100
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Fax | 308-534-9112
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Provider Business Mailing Address
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Address Line | 321 E 3RD ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4032
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Country | US
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Telephone | 308-534-9100
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Fax | 308-534-9112
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROLINE ERICA SORENSON
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Credential | M.D.
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Telephone | 308-534-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 23650
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License Number State | NE
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