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General NPI Number Information
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NPI Number | 1043086069
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Entity Type | Individual
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Provider Name | DAKOTA JAMES JACOBS DC
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Gender | Male
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 4481 TOWNSHIP ROAD 367
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City | MILLERSBURG
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State | OH
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Zip | 44654-8885
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Country | US
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Telephone | 740-507-4744
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Fax |
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Provider Business Mailing Address
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Address Line | 4481 TOWNSHIP ROAD 367
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City | MILLERSBURG
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State | OH
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Zip | 44654-8885
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Country | US
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Telephone | 740-507-4744
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-05215
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License Number State | OH
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