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General NPI Number Information
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NPI Number | 1184515280
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Entity Type | Individual
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Provider Name | JASON L MCCONNELL
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Gender | Male
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 3301 N 60TH ST
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City | OMAHA
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State | NE
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Zip | 68104-3401
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Country | US
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Telephone | 402-830-4390
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Fax | 402-830-4390
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Provider Business Mailing Address
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Address Line | 505 CORNHUSKER RD STE 105 PMB 351
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City | BELLEVUE
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State | NE
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Zip | 68005-4091
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Country | US
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Telephone | 402-915-0499
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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