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General NPI Number Information
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NPI Number | 1528620184
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Entity Type | Individual
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Provider Name | TESSA BOESIGER AUD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 203A BARKLEY MEMORIAL CENTER
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City | LINCOLN
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State | NE
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Zip | 68583-0731
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Country | US
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Telephone | 402-472-2071
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Fax | 402-472-3814
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Provider Business Mailing Address
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Address Line | 203A BARKLEY MEMORIAL CENTER
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City | LINCOLN
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State | NE
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Zip | 68583-0731
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Country | US
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Telephone | 402-472-2071
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Fax | 402-472-3814
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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 | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 81187
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 81187
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 437
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License Number State | NE
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