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General NPI Number Information
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NPI Number | 1245039833
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Entity Type | Individual
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Provider Name | JACOB ALEXANDER SACKS DPT
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 8449 SW HIGHWAY 200
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City | OCALA
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State | FL
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Zip | 34481-9662
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Country | US
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Telephone | 636-236-9942
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 BARONS WAY CT
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City | CHESTERFIELD
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State | MO
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Zip | 63017-7113
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Country | US
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Telephone | 636-236-9942
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Fax | 636-236-9942
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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 | PT42870
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License Number State | FL
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