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General NPI Number Information
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NPI Number | 1528288982
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Entity Type | Individual
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Provider Name | JODI L'AMOUR JACOBS D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 909 MIDLAND AVE
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City | YONKERS
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State | NY
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Zip | 10704-1092
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Country | US
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Telephone | 914-476-6500
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Fax | 914-476-6400
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Provider Business Mailing Address
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Address Line | 150 GLENWOOD AVE G4
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City | YONKERS
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State | NY
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Zip | 10703-2600
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Country | US
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Telephone | 914-623-8722
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 011379
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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 | 011379
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License Number State | NY
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