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General NPI Number Information
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NPI Number | 1013587153
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Entity Type | Individual
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Provider Name | JAYDEE JACOB ROBLES DACM, L.AC.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 22685 THREE NOTCH RD STE 202
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City | CALIFORNIA
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State | MD
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Zip | 20619-3152
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Country | US
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Telephone | 301-202-4053
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Fax |
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Provider Business Mailing Address
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Address Line | 11161 SR-70 E SUITE 100-537
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City | BRADENTON
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State | FL
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Zip | 34202
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Country | US
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Telephone | 941-363-1056
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Fax | 941-340-0607
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 13278692-1201
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | TPAP9
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02824
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | RPT103211
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License Number State | FL
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