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General NPI Number Information
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NPI Number | 1760467609
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Entity Type | Individual
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Provider Name | JEFFERY CRAIG MARKT DDS
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 981225 NEBRASKA MEDICAL CENTER
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City | OMAHA
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State | NE
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Zip | 68198-1225
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Country | US
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Telephone | 402-559-7978
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Fax | 402-559-8940
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Provider Business Mailing Address
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Address Line | 981225 NEBRASKA MEDICAL CENTER
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City | OMAHA
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State | NE
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Zip | 68198-1225
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Country | US
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Telephone | 402-559-7978
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Fax | 402-559-8940
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 40008
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License Number State | IA
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