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General NPI Number Information
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NPI Number | 1831018027
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Entity Type | Individual
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Provider Name | MADISON MARIE WASSINK DPT
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 17055 FRANCES ST
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City | OMAHA
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State | NE
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Zip | 68130-4655
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Country | US
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Telephone | 402-280-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 809 W STERLING OAK CIR
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City | SIOUX FALLS
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State | SD
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Zip | 57108-4102
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Country | US
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Telephone | 605-595-4381
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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 |
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License Number State |
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