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General NPI Number Information
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NPI Number | 1477548493
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Entity Type | Individual
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Provider Name | KRISTIN A JACOBSEN DC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2230 PINE AVE
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-2330
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Country | US
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Telephone | 716-282-2225
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Fax | 716-284-0162
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Provider Business Mailing Address
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Address Line | 2230 PINE AVE
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City | NIAGARA FALLS
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State | NY
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Zip | 14301
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Country | US
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Telephone | 716-282-2225
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Fax | 716-284-0162
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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 | X009480
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC010645
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License Number State | PA
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