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General NPI Number Information
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NPI Number | 1861491664
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Entity Type | Organization
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Legal Business Name | HASTINGS PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 2307 OSBORNE DR W
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City | HASTINGS
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State | NE
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Zip | 68901-9116
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Country | US
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Telephone | 402-462-2665
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Fax | 402-462-2668
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Provider Business Mailing Address
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Address Line | 2307 OSBORNE DR W
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City | HASTINGS
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State | NE
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Zip | 68901-9116
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Country | US
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Telephone | 402-462-2665
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Fax | 402-462-2668
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANICE K NIEMEYER
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Credential | PT
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Telephone | 402-462-2665
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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 | 904
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License Number State | NE
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