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General NPI Number Information
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NPI Number | 1689298382
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Entity Type | Organization
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Legal Business Name | AMBER JARA, P.C.
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 2211 S 51ST ST
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City | LINCOLN
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State | NE
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Zip | 68506-2023
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Country | US
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Telephone | 402-202-4142
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 S 51ST ST
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City | LINCOLN
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State | NE
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Zip | 68506-2023
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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 | PRESIDENT
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Name | AMBER ELIZABETH JARA
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Credential | L-CCC-SLP
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Telephone | 402-202-4142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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