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General NPI Number Information
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NPI Number | 1669382115
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Entity Type | Individual
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Provider Name | TARYN DIMMITT
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Gender |
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 13808 W MAPLE RD STE 116
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City | OMAHA
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State | NE
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Zip | 68164-6231
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Country | US
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Telephone | 402-991-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 N 113TH CT APT 6028
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City | OMAHA
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State | NE
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Zip | 68154-5852
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5022
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License Number State | NE
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