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General NPI Number Information
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NPI Number | 1750828935
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Entity Type | Organization
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Legal Business Name | TEAM PHYSICAL THERAPY,P.C.
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 07/26/2017
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Provider Practice Location Address
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Address Line | 523 10TH ST
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City | GOTHENBURG
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State | NE
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Zip | 69138-1925
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Country | US
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Telephone | 308-537-3600
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Fax | 308-537-3601
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Provider Business Mailing Address
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Address Line | 523 10TH ST
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City | GOTHENBURG
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State | NE
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Zip | 69138-1925
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Country | US
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Telephone | 308-537-3600
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Fax | 308-537-3601
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS & PERSONNEL
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Name | JEFF DENSON
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Credential | PT
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Telephone | 308-872-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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