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General NPI Number Information
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NPI Number | 1295883510
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Entity Type | Individual
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Provider Name | JACOB M. SHERK RPH
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 428 CLOVERLEAF RD
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9320
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Country | US
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Telephone | 717-653-6888
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Fax | 717-653-9569
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Provider Business Mailing Address
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Address Line | 314 COLLEGE AVE
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2413
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Country | US
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Telephone | 717-367-1785
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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 | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | RP033731L
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License Number State | PA
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