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General NPI Number Information
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NPI Number | 1215045364
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Entity Type | Individual
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Provider Name | CHERYL JACOBS
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Gender | Female
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 220 N SYKES CREEK PKWY STE 300
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3490
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Country | US
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Telephone | 321-459-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 1228 POTOMAC DR
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-7221
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Country | US
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Telephone | 407-449-9853
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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 | PT7383
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License Number State | FL
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