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NPI 1386560688

NPI 1386560688 : MR. JACOB ESCHLIMAN : KEARNEY, NE

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General NPI Number Information
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    NPI Number           |    1386560688
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    Entity Type          |    Individual 
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    Provider Name        |    MR. JACOB ESCHLIMAN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/29/2026
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    Last Update Date     |    06/29/2026
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Provider Practice Location Address
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    Address Line         |    516 W 11TH ST STE 108B 
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    City                 |    KEARNEY
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    State                |    NE
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    Zip                  |    68845-7310
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    Country              |    US
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    Telephone            |    308-251-0940
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    408 1ST AVE 
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    City                 |    AXTELL
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    State                |    NE
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    Zip                  |    68924-3457
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    Country              |    US
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    Telephone            |    
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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        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    3438
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    License Number State |    NE
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