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General NPI Number Information
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NPI Number | 1013983154
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH JAKUBOWSKI PA
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 5187 MAYFIELD RD STE 102
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City | LYNDHURST
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State | OH
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Zip | 44124
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Country | US
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Telephone | 440-449-1014
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Fax | 440-449-8157
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Provider Business Mailing Address
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Address Line | 5850 LANDERBROOK DR STE 100
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City | CLEVELAND
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State | OH
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Zip | 44124-4071
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Country | US
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Telephone | 440-646-2200
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Fax | 440-646-2209
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50-002375
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License Number State | OH
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