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General NPI Number Information
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NPI Number | 1356442479
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Entity Type | Individual
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Provider Name | JACOB CODY SAUSER D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1115 S MAIN ST
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City | JONESBORO
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State | AR
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Zip | 72401-4023
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Country | US
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Telephone | 870-932-7822
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Fax | 870-932-4017
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Provider Business Mailing Address
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Address Line | 2100 E MATTHEWS AVE
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City | JONESBORO
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State | AR
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Zip | 72401-4332
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Country | US
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Telephone | 870-931-3722
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Fax | 870-802-0352
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1678
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License Number State | AR
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