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General NPI Number Information
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NPI Number | 1619747698
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Entity Type | Organization
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Legal Business Name | LYMPHATIC REHAB, LLC
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 7115 KENTWELL LN STE 102
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City | LINCOLN
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State | NE
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Zip | 68516-6693
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Country | US
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Telephone | 402-560-4415
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Fax |
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Provider Business Mailing Address
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Address Line | 7115 KENTWELL LN STE 102
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City | LINCOLN
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State | NE
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Zip | 68516-6693
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Country | US
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Telephone | 402-560-4415
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | LORI RAHRS VOLIN
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Credential | OT
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Telephone | 402-560-4415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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