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General NPI Number Information
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NPI Number | 1376454561
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Entity Type | Individual
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Provider Name | TATE PFEIFER
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Gender | Male
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 3909 TWIN CREEK DR STE 105
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City | BELLEVUE
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State | NE
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Zip | 68123-4179
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Country | US
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Telephone | 402-991-8959
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Fax |
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Provider Business Mailing Address
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Address Line | 904 TILDEN AVE
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City | HASTINGS
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State | NE
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Zip | 68901-3561
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3173
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License Number State | NE
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