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General NPI Number Information
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NPI Number | 1760502702
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Entity Type | Individual
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Provider Name | PHILLIP ISMAY JONES M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 981150 NEBRASKA MEDICAL CTR
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City | OMAHA
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State | NE
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Zip | 68198-1150
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Country | US
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Telephone | 402-559-6802
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Fax |
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Provider Business Mailing Address
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Address Line | 2316 N 52ND ST
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City | OMAHA
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State | NE
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Zip | 68104-4343
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Country | US
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Telephone | 402-932-0668
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | TEP 5270
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License Number State | NE
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