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General NPI Number Information
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NPI Number | 1518276922
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Entity Type | Organization
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Legal Business Name | STEVEN J. JACOBS, MD, INC
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Dates
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Enumeration Date | 10/02/2010
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 9001 WILSHIRE BLVD STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1840
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Country | US
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Telephone | 310-271-2328
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Fax | 310-271-3793
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Provider Business Mailing Address
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Address Line | 9001 WILSHIRE BLVD STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1840
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Country | US
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Telephone | 310-271-2328
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Fax | 310-271-3793
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVEN JEFFREY JACOBS
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Credential | M.D
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Telephone | 310-271-2328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G45704
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License Number State | CA
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