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NPI 1568897395

NPI 1568897395 : BARBARA JEAN ERNEST DPT : SIDNEY, NE

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General NPI Number Information
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    NPI Number           |    1568897395
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA JEAN ERNEST DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/11/2013
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    Last Update Date     |    09/11/2013
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Provider Practice Location Address
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    Address Line         |    645 OSAGE ST 
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    City                 |    SIDNEY
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    State                |    NE
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    Zip                  |    69162-1714
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    Country              |    US
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    Telephone            |    308-254-5388
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    645 OSAGE ST 
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    City                 |    SIDNEY
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    State                |    NE
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    Zip                  |    69162-1714
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    Country              |    US
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    Telephone            |    308-254-5355
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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       |    423
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    License Number State |    NE
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