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General NPI Number Information
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NPI Number | 1972490027
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Entity Type | Individual
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Provider Name | PILAYABA MARTIAL ATALE DSP
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Gender | Male
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 14210 ARBOR ST STE A
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City | OMAHA
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State | NE
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Zip | 68144-2382
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Country | US
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Telephone | 531-999-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 14806 PRATT CT APT 202
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City | OMAHA
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State | NE
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Zip | 68116-6294
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Country | US
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Telephone | 531-721-5945
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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