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General NPI Number Information
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NPI Number | 1417106527
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Entity Type | Organization
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Legal Business Name | WILLIAM V JACOBSON MD PC
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 311 NORTH ST STE 202
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2232
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Country | US
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Telephone | 914-949-1244
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Fax | 914-684-1336
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Provider Business Mailing Address
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Address Line | 311 NORTH ST STE 202
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2232
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Country | US
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Telephone | 914-949-1244
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Fax | 914-684-1336
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM JACOBSON
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Credential |
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Telephone | 914-949-1244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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