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General NPI Number Information
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NPI Number | 1306824867
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Entity Type | Organization
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Legal Business Name | ACHIEVE PC
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11511 S 42ND ST STE 106
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City | BELLEVUE
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State | NE
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Zip | 68123-1089
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Country | US
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Telephone | 402-502-4678
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Fax | 402-933-9137
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Provider Business Mailing Address
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Address Line | 11511 S 42ND ST STE 106
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City | BELLEVUE
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State | NE
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Zip | 68123-1000
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Country | US
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Telephone | 402-502-4678
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Fax | 402-933-9137
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN MICHAEL INSELMAN
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Credential | DPT
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Telephone | 402-502-4678
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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 | 2354
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License Number State | NE
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