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General NPI Number Information
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NPI Number | 1255484820
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Entity Type | Individual
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Provider Name | JACOB E TAUBER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 9033 WILSHIRE BLVD SUITE 401
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1837
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Country | US
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Telephone | 310-273-1003
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Fax | 310-273-2551
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Provider Business Mailing Address
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Address Line | 9033 WILSHIRE BLVD SUITE 401
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1837
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Country | US
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Telephone | 310-273-1003
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Fax | 310-273-2551
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G41526
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License Number State | CA
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