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General NPI Number Information
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NPI Number | 1487164885
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Entity Type | Organization
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Legal Business Name | JODI JACOBS DC PLLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 3407 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10467-5704
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Country | US
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Telephone | 718-325-1658
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Fax | 718-653-1658
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Provider Business Mailing Address
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Address Line | 10 GLADSTONE PL
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City | YONKERS
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State | NY
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Zip | 10703-1149
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Country | US
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Telephone | 914-623-8722
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Fax | 914-476-6400
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. JODI L JACOBS
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Credential | DC
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Telephone | 914-476-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 011379
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License Number State | NY
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