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General NPI Number Information
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NPI Number | 1952733859
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Entity Type | Individual
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Provider Name | JOEL M NEIHARDT
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Gender | Male
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 6319 HAVELOCK AVE
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City | LINCOLN
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State | NE
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Zip | 68507-1328
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Country | US
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Telephone | 402-325-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 7923 DAWSON CREEK DR
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City | LINCOLN
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State | NE
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Zip | 68505-3085
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Country | US
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Telephone | 402-310-5850
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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 | 3253
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License Number State | NE
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