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General NPI Number Information
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NPI Number | 1962540054
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Entity Type | Individual
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Provider Name | STACY LYNN LERNER PT, PCS
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | CHILDREN'S NEBRASKA 8200 DODGE STREET
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City | OMAHA
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State | NE
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Zip | 68114
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Country | US
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Telephone | 402-955-3985
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Fax |
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Provider Business Mailing Address
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Address Line | 1622 N 53RD ST
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City | OMAHA
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State | NE
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Zip | 68104-4948
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Country | US
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Telephone | 312-498-8427
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2751
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License Number State | NE
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