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General NPI Number Information
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NPI Number | 1609015684
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Entity Type | Individual
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Provider Name | MS. JENNIFER JAKUBOWSKI
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Gender | Female
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 2016 NE 65TH ST SUITE B
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City | SEATTLE
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State | WA
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Zip | 98115-6957
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Country | US
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Telephone | 206-729-6211
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 5TH AVE N APT 24
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City | SEATTLE
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State | WA
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Zip | 98109-3843
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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