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General NPI Number Information
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NPI Number | 1225208945
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Entity Type | Individual
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Provider Name | JAY NATHAN FRANKLIN SFA,CIS,CVT
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Gender | Male
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 911 N 105TH ST
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City | OMAHA
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State | NE
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Zip | 68114-2001
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Country | US
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Telephone | 402-917-3531
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Fax | 402-614-0683
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Provider Business Mailing Address
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Address Line | 911 N 105TH ST
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City | OMAHA
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State | NE
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Zip | 68114-2001
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Country | US
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Telephone | 402-917-3531
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Fax | 402-614-0683
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 47
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 47
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License Number State | NE
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