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General NPI Number Information
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NPI Number | 1528924636
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Entity Type | Individual
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Provider Name | JACOB T HOLBROOKS DC
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Gender | Male
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1440 WAKARUSA DR STE 400
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City | LAWRENCE
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State | KS
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Zip | 66049-3879
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Country | US
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Telephone | 785-832-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 20814 W 92ND ST
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City | LENEXA
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State | KS
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Zip | 66220-3443
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Country | US
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Telephone | 817-408-9753
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01-06445
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License Number State | KS
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