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General NPI Number Information
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NPI Number | 1780203893
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Entity Type | Individual
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Provider Name | JAMES HAYWARD PORTER MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 16901 LAKESIDE HILLS CT
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City | OMAHA
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State | NE
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Zip | 68130-2318
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Country | US
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Telephone | 402-717-8111
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Fax | 402-717-8127
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Provider Business Mailing Address
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Address Line | 16901 LAKESIDE HILLS CT
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City | OMAHA
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State | NE
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Zip | 68130-2318
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Country | US
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Telephone | 402-717-8111
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Fax | 402-717-8127
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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 | MT220340
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD222863
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 37016
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License Number State | NE
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