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General NPI Number Information
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NPI Number | 1720353980
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Entity Type | Organization
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Legal Business Name | PREMIER O&P INC.
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 3705 SOUTH ST STE 100
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City | LINCOLN
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State | NE
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Zip | 68506-6044
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Country | US
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Telephone | 402-420-0426
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Fax | 402-420-0427
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Provider Business Mailing Address
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Address Line | 3705 SOUTH ST STE 100
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City | LINCOLN
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State | NE
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Zip | 68506-6044
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Country | US
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Telephone | 402-420-0426
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Fax | 402-420-0427
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Authorized Official
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Title or Position | OWNER / ORTHOTICS & PROSTHETICS
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Name | BRANDON GREEN
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Credential | OP
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Telephone | 308-627-3198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CPO03152
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License Number State | NE
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