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General NPI Number Information
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NPI Number | 1184890675
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Entity Type | Organization
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Legal Business Name | THYGESEN PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 5955 S 56TH ST SUITE ONE
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City | LINCOLN
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State | NE
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Zip | 68516-3391
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Country | US
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Telephone | 402-423-7878
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Fax | 402-423-0272
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Provider Business Mailing Address
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Address Line | 5955 S 56TH ST SUITE ONE
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City | LINCOLN
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State | NE
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Zip | 68516-3391
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Country | US
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Telephone | 402-423-7878
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Fax | 402-423-0272
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. PAUL A THYGESEN
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Credential | PT
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Telephone | 402-423-7878
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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 | 1722
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License Number State | NE
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