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NPI Code Detail

MEDICARE: ABRA CHIMENE DZIDZINYO

MEDICARE: ABRA CHIMENE DZIDZINYO
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 Specialist

General Provider Information

NPI Number : 1801766126
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRA CHIMENE DZIDZINYO
Provider Business Mailing Address
First Line : 2129 BENSON GARDENS BLVD APT 5A
Second Line :
City : OMAHA
State : NE
Zip : 68134-6729
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4715 S 132ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68137-1899
Country : US
Telephone Number : 402-444-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2025
Last Update Date : 11/11/2025

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Directions to “ ABRA CHIMENE DZIDZINYO ” Practice Location

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