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General NPI Number Information
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NPI Number | 1689290355
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Entity Type | Individual
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Provider Name | JOEL DOUGLAS SPIEHS DPT
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Gender | Male
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 8419 S 73RD PLZ
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City | PAPILLION
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State | NE
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Zip | 68046-1507
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Country | US
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Telephone | 402-991-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 7545 NEMAHA ST
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City | LINCOLN
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State | NE
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Zip | 68506-4648
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Country | US
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Telephone | 402-314-3418
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4061
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License Number State | NE
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