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NPI Code Detail

MEDICARE: DEAN MARYMEE

MEDICARE:   DEAN  MARYMEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor

General Provider Information

NPI Number : 1003614926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEAN MARYMEE
Provider Business Mailing Address
First Line : 4715 S 132ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68137-1899
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15622 MONROE CIR
Second Line :
City : OMAHA
State : NE
Zip : 68135-2338
Country : US
Telephone Number : 402-637-6193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2025
Last Update Date : 03/05/2025

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Directions to “ DEAN MARYMEE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.