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General NPI Number Information
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NPI Number | 1588763593
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Entity Type | Individual
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Provider Name | SARAH P JACOBSON DDS
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2 COMMERCIAL AVE
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City | WASHINGTON CT HS
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State | OH
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Zip | 43160
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Country | US
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Telephone | 740-335-2921
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Fax | 740-335-5664
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Provider Business Mailing Address
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Address Line | 2 COMMERCIAL AVE
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City | WASHINGTON CT HS
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State | OH
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Zip | 43160
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Country | US
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Telephone | 740-335-2921
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Fax | 740-335-5664
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30021775
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30-021775
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License Number State | OH
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