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General NPI Number Information
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NPI Number | 1871624627
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Entity Type | Individual
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Provider Name | THAYNE C GRIENER MD
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4508 38TH ST STE 152
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City | COLUMBUS
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State | NE
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Zip | 68601-1668
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Country | US
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Telephone | 402-563-4500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1800
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City | COLUMBUS
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State | NE
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Zip | 68602-1800
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Country | US
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Telephone | 402-564-7118
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Fax | 402-562-3378
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 14670
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01094895A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 14104
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 84261-20
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | CP1682
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License Number State | NE
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