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General NPI Number Information
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NPI Number | 1326036112
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Entity Type | Individual
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Provider Name | REX F LARGEN MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 5533 S 27TH STREET SUITE 103
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City | LINCOLN
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State | NE
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Zip | 68512-1664
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Country | US
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Telephone | 402-423-7000
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Fax | 402-423-9399
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Provider Business Mailing Address
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Address Line | PO BOX 239
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City | LUTZ
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State | FL
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Zip | 33548-0239
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Country | US
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Telephone | 402-423-7000
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Fax | 402-473-9399
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 17872
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License Number State | NE
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