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General NPI Number Information
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NPI Number | 1245386986
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Entity Type | Individual
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Provider Name | JAMIE LU JACOBS P T
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3630 BUSINESS DR
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City | SACRAMENTO
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State | CA
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Zip | 95820-2163
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Country | US
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Telephone | 916-734-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 2540 CURTIS WAY
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City | SACRAMENTO
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State | CA
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Zip | 95818-3923
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Country | US
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Telephone | 916-452-8523
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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 | 10434
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License Number State | CA
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