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General NPI Number Information
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NPI Number | 1427134659
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Entity Type | Individual
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Provider Name | STEVE H TYNDALL MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 7440 S 91ST ST
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City | LINCOLN
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State | NE
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Zip | 68526-9797
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Country | US
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Telephone | 402-489-6555
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Fax | 402-328-3770
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Provider Business Mailing Address
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Address Line | 7440 S 91ST ST
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City | LINCOLN
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State | NE
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Zip | 68526-9797
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Country | US
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Telephone | 402-489-6555
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Fax | 402-328-3770
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 18485
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 04-26749
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License Number State | KS
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