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NPI Code Detail

MEDICARE: SYDNEE BOEHMER-DIEDRICH

MEDICARE: SYDNEE BOEHMER-DIEDRICH
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
1106S00000XBehavior TechnicianRBT-23-298982IA

General Provider Information

NPI Number : 1427913813
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEE BOEHMER-DIEDRICH
Provider Business Mailing Address
First Line : 1827 E IRELAND RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46614-2845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1310 19TH AVE NW
Second Line :
City : CLINTON
State : IA
Zip : 52732-2752
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ SYDNEE BOEHMER-DIEDRICH ” Practice Location

Language Start Address Practice Location
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.

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