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General NPI Number Information
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NPI Number | 1295368108
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Entity Type | Individual
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Provider Name | SYDNEY OLSON-GRIESS DC,DABCA
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Gender | Female
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 223 E 14TH ST STE 93
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City | HASTINGS
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State | NE
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Zip | 68901-3200
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Country | US
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Telephone | 402-469-4489
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Fax |
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Provider Business Mailing Address
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Address Line | 223 E 14TH ST STE 93
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City | HASTINGS
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State | NE
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Zip | 68901-3200
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Country | US
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Telephone | 402-469-2248
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2074
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2020005875
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License Number State | MO
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