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General NPI Number Information
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NPI Number | 1558593384
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Entity Type | Individual
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Provider Name | KRISTA K TONNIGES O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 1401 S DEWEY ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-7622
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Country | US
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Telephone | 308-532-0220
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Fax | 308-532-0500
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Provider Business Mailing Address
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Address Line | 40948 ROAD 768
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City | GOTHENBURG
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State | NE
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Zip | 69138-4054
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Country | US
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Telephone | 308-627-6171
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1326
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License Number State | NE
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