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General NPI Number Information
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NPI Number | 1619137924
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Entity Type | Organization
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Legal Business Name | JACOB M. ESTES, M.D., LLC
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 9000 AIRLINE HWY STE 210
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City | BATON ROUGE
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State | LA
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Zip | 70815-4114
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Country | US
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Telephone | 225-216-3006
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 AIRLINE HWY STE 210
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City | BATON ROUGE
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State | LA
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Zip | 70815-4114
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Country | US
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Telephone | 225-216-3006
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Fax |
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Authorized Official
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Title or Position | GYN ONCOLOGIST
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Name | DR. JACOB MICHAEL ESTES
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Credential | M.D.
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Telephone | 225-216-3006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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