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General NPI Number Information
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NPI Number | 1396895397
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Entity Type | Individual
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Provider Name | CINDY JANSSEN D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 101 E CENTENNIAL RD
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City | PAPILLION
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State | NE
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Zip | 68046-2079
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Country | US
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Telephone | 402-354-7750
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Fax | 402-354-7760
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Provider Business Mailing Address
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Address Line | 754 GOLD COAST DR STE 105
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City | PAPILLION
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State | NE
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Zip | 68046-4498
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Country | US
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Telephone | 402-201-2300
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Fax | 402-201-2307
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 277
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License Number State | NE
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