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NPI 1467944686

NPI 1467944686 : TAYLOR CHRISTINE GREINER PTA : FALLS CITY, NE

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General NPI Number Information
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    NPI Number           |    1467944686
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOR CHRISTINE GREINER PTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/04/2018
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    Last Update Date     |    02/22/2022
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Provider Practice Location Address
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    Address Line         |    3307 BARADA ST 
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    City                 |    FALLS CITY
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    State                |    NE
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    Zip                  |    68355
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    Country              |    US
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    Telephone            |    402-245-6525
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3307 BARADA ST. 
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    City                 |    FALLS CITY
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    State                |    NE
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    Zip                  |    68355
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    Country              |    US
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    Telephone            |    785-285-8308
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    14-03356
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    1693
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    License Number State |    NE
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