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General NPI Number Information
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NPI Number | 1912646746
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Entity Type | Organization
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Legal Business Name | HARTINGTON PHYSICAL THERAPY AND PERFORMANCE LLC
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 201 N BROADWAY AVE
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City | HARTINGTON
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State | NE
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Zip | 68739-4619
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Country | US
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Telephone | 402-841-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 E MEADOW RIDGE RD
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City | NORFOLK
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State | NE
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Zip | 68701-7213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | JACOB REIFENRATH
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Credential |
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Telephone | 402-841-4411
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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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