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General NPI Number Information
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NPI Number | 1346212263
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Entity Type | Organization
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Legal Business Name | PAUL F JACOBSEN, M.D., A MEDICAL CORPORAION
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6512 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90601-4518
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Country | US
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Telephone | 562-698-9743
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Fax | 562-698-1767
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Provider Business Mailing Address
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Address Line | 6512 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90601-4518
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Country | US
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Telephone | 562-698-9743
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Fax | 562-698-1767
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL FREDERICK JACOBSEN
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Credential | M.D.
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Telephone | 562-698-9743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | G33336
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License Number State | CA
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