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General NPI Number Information
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NPI Number | 1023759891
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Entity Type | Individual
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Provider Name | ABBY MARIE PETERSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 14080 HOSPITAL RD
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City | BOYS TOWN
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State | NE
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Zip | 68010-7513
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Country | US
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Telephone | 402-778-6900
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Fax | 402-778-6917
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Provider Business Mailing Address
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Address Line | 14080 HOSPITAL RD
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City | BOYS TOWN
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State | NE
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Zip | 68010-7513
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Country | US
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Telephone | 402-778-6900
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Fax | 402-778-6917
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 36913
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License Number State | NE
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