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General NPI Number Information
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NPI Number | 1396476453
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Entity Type | Organization
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Legal Business Name | JACOBS TRANSPORTATION SERVICE LLC
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 489 DENMAN LOOP
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City | COLUMBIA
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State | SC
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Zip | 29229-7050
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Country | US
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Telephone | 803-561-6633
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Fax | 803-753-9545
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Provider Business Mailing Address
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Address Line | 489 DENMAN LOOP
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City | COLUMBIA
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State | SC
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Zip | 29229-7050
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Country | US
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Telephone | 803-561-6633
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Fax | 803-753-9545
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEWEY JACOBS JR.
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Credential |
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Telephone | 803-587-9468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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