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General NPI Number Information
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NPI Number | 1194800417
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Entity Type | Individual
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Provider Name | KAREN JACOBS MS, RN-CS
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 100 CUMMING CENTER DR. SUITE 106P
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City | BEVERLY
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State | MA
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Zip | 01915-5900
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Country | US
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Telephone | 978-922-9226
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Fax | 978-922-9203
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Provider Business Mailing Address
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Address Line | 17 DANIEL CT
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City | SALISBURY
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State | MA
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Zip | 01952-1237
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Country | US
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Telephone | 978-922-9226
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Fax | 978-922-9203
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 205166
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License Number State | MA
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