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General NPI Number Information
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NPI Number | 1154955797
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Entity Type | Individual
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Provider Name | ANIEFIOK JACOB
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Gender | Male
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Dates
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Enumeration Date | 02/22/2020
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Last Update Date | 02/22/2020
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Provider Practice Location Address
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Address Line | 3306 SHELBY DR
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City | JONESBORO
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State | AR
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Zip | 72404-0637
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Country | US
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Telephone | 870-219-1692
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Fax |
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Provider Business Mailing Address
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Address Line | 604 FOX RUN DR
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City | JONESBORO
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State | AR
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Zip | 72404-0511
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Country | US
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Telephone | 870-623-4013
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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