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General NPI Number Information
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NPI Number | 1942164355
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Entity Type | Individual
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Provider Name | HANNAH DIEZ PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1900 BOUNDARY ST
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City | BEAUFORT
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State | SC
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Zip | 29902-6821
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Country | US
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Telephone | 402-889-6501
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Fax |
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Provider Business Mailing Address
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Address Line | 12220 S 220TH CIR
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City | GRETNA
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State | NE
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Zip | 68028-5969
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP051357T
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4821
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License Number State | NE
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