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General NPI Number Information
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NPI Number | 1487051371
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Entity Type | Individual
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Provider Name | JACOB VALABOV DPM
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Gender | Male
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 737 HUNTER DR
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-4067
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Country | US
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Telephone | 847-504-5000
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Fax | 847-504-5015
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Provider Business Mailing Address
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Address Line | PO BOX 917
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City | NORTHBROOK
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State | IL
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Zip | 60065-0917
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Country | US
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Telephone | 847-504-5000
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Fax | 847-504-5015
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1082-25
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1006
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 1082-25
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License Number State | WI
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