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General NPI Number Information
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NPI Number | 1538514005
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Entity Type | Individual
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Provider Name | JACOB CURLEY
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Gender | Male
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 1215 LEE ST BOX 800904
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0816
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Country | US
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Telephone | 734-497-9594
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MANNING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 734-497-9594
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2020-00248
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License Number State | NC
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