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General NPI Number Information
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NPI Number | 1568465011
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Entity Type | Organization
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Legal Business Name | JACOB DAGANI, M.D.
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Dates
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Enumeration Date | 05/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 559 HARMON RD
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City | BLUFFTON
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State | OH
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Zip | 45817-1070
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Country | US
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Telephone | 419-358-8856
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Fax | 419-358-6780
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Provider Business Mailing Address
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Address Line | PO BOX 207
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City | BLUFFTON
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State | OH
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Zip | 45817-0207
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Country | US
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Telephone | 419-358-8856
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Fax | 419-358-6780
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACOB DAGANI
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Credential | M. D.
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Telephone | 419-358-8856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.063339
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License Number State | OH
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