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General NPI Number Information
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NPI Number | 1144104852
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Entity Type | Individual
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Provider Name | JENNA LYNN FALCON RN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 4101 WOOLWORTH AVE
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City | OMAHA
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State | NE
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Zip | 68105-1850
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Country | US
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Telephone | 402-995-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 15302 REDWOOD ST
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City | OMAHA
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State | NE
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Zip | 68138-6494
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Country | US
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Telephone | 402-699-9257
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 80606
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 80606
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License Number State | NE
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