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NPI 1265567267

NPI 1265567267 : DARIN E JACKSON MD : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1265567267
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    Entity Type          |    Individual 
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    Provider Name        |    DARIN E JACKSON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/22/2007
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    17650 WRIGHT ST STE 3 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68130-2800
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    Country              |    US
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    Telephone            |    402-334-5433
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    Fax                  |    402-333-1037
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Provider Business Mailing Address
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    Address Line         |    1201 RANCH VIEW LN 
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    City                 |    ELKHORN
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    State                |    NE
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    Zip                  |    68022-2239
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    Country              |    US
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    Telephone            |    402-650-7333
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    Fax                  |    402-333-1037
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    20271
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    20271
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    License Number State |    NE
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