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General NPI Number Information
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NPI Number | 1093811036
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Entity Type | Individual
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Provider Name | JEFREY START DO
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 611 W FRANCIS ST STE 200
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City | NORTH PLATTE
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State | NE
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Zip | 69101-0614
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Country | US
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Telephone | 308-568-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 2407 DRENTHE LAAN
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City | PELLA
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State | IA
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Zip | 50219-7875
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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 | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 4357
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 1933
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License Number State | NE
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