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General NPI Number Information
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NPI Number | 1922017649
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Entity Type | Organization
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Legal Business Name | LINCOLN PAIN MANAGEMENT & REHAB, LLC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3410 O ST
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City | LINCOLN
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State | NE
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Zip | 68510-1540
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Country | US
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Telephone | 402-476-0405
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Fax |
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Provider Business Mailing Address
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Address Line | 3410 O ST
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City | LINCOLN
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State | NE
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Zip | 68510-1540
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Country | US
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Telephone | 402-476-0405
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VINCENT HOAI DO
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Credential | D.C.
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Telephone | 402-476-0405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1430
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License Number State | NE
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