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General NPI Number Information
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NPI Number | 1073423471
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Entity Type | Individual
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Provider Name | JACOB LANE
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Gender | Male
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 841 W WASHINGTON ST STE 200
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City | MARQUETTE
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State | MI
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Zip | 49855-4149
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Country | US
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Telephone | 906-228-2595
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Fax |
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Provider Business Mailing Address
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Address Line | 855 PUUMALA RD
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City | WAKEFIELD
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State | MI
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Zip | 49968-9527
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Country | US
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Telephone | 906-285-4189
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501304621
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License Number State | MI
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