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General NPI Number Information
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NPI Number | 1275899403
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Entity Type | Individual
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Provider Name | JACOBY SPITTLER
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Gender | Male
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 19405 PLANTATION RD UNIT 2
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4488
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Country | US
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Telephone | 302-480-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 32837 ALMWICK LN
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City | LEWES
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State | DE
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Zip | 19958-3513
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS018063
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C20023860
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License Number State | DE
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