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NPI Code Detail

MEDICARE: NYAJOK PETER PAL

MEDICARE: NYAJOK PETER PAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation SpecialistNE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306659842
Entity Type Code : Individual
Provider Name (Legal Business Name) : NYAJOK PETER PAL
Provider Business Mailing Address
First Line : 2840 N 73RD ST
Second Line :
City : LINCOLN
State : NE
Zip : 68507-2719
Country : US
Telephone Number : 402-404-0976
Fax Number :
Provider Business Practice Location Address
First Line : 2840 N 73RD ST
Second Line :
City : LINCOLN
State : NE
Zip : 68507-2719
Country : US
Telephone Number : 402-404-0976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2025
Last Update Date : 01/29/2025

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Directions to “ NYAJOK PETER PAL ” Practice Location

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