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General NPI Number Information
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NPI Number | 1235309873
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Entity Type | Organization
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Legal Business Name | STEVEN S JACOBS MD INC
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 2405 SHADELANDS DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2444
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Country | US
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Telephone | 925-939-8585
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 34247 PO BOX 39000
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City | SAN FRANCISCO
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State | CA
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Zip | 94139-0001
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Country | US
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Telephone | 800-275-8752
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN S JACOBS
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Credential | MD
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Telephone | 503-372-2740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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