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General NPI Number Information
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NPI Number | 1467501940
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Entity Type | Individual
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Provider Name | JASON CARL JACOBIA LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/20/2011
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Provider Practice Location Address
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Address Line | 1169 CALL CREEK PLACE SUITE B
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City | POCATELLO
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State | ID
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Zip | 83201-3071
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Country | US
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Telephone | 208-232-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 FILLMORE ST
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City | TWIN FALLS
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State | ID
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Zip | 83301-3380
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Country | US
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Telephone | 208-735-2237
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW27236
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License Number State | ID
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