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General NPI Number Information
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NPI Number | 1780634568
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Entity Type | Individual
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Provider Name | TODD DALE SEKUNDIAK MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 222 N 192ND ST
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City | ELKHORN
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State | NE
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Zip | 68022-5363
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Country | US
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Telephone | 402-390-4111
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Fax | 402-390-4115
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Provider Business Mailing Address
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Address Line | 8005 FARNAM DR STE 305
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City | OMAHA
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State | NE
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Zip | 68114-3426
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Country | US
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Telephone | 402-390-4111
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Fax | 402-390-4115
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 291029
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C152157
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 14963
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 22110
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License Number State | NE
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