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General NPI Number Information
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NPI Number | 1093060519
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Entity Type | Individual
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Provider Name | JESSICA FRANCES SUAREZ DDS
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Gender | Female
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 11110 FORT ST STE 106
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City | OMAHA
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State | NE
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Zip | 68164-2183
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Country | US
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Telephone | 402-492-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 14826 FOWLER AVE
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City | OMAHA
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State | NE
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Zip | 68116-1465
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Country | US
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Telephone | 402-213-2407
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7045
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 08927
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License Number State | IA
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