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General NPI Number Information
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NPI Number | 1639177439
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Entity Type | Individual
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Provider Name | ARTHUR RAY JACOBSON MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 1305 WONDER WORLD DR SUITE 209
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City | SAN MARCOS
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State | TX
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Zip | 78666-7546
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Country | US
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Telephone | 512-396-7575
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Fax | 512-396-7555
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Provider Business Mailing Address
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Address Line | 1305 WONDER WORLD DR SUITE 209
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City | SAN MARCOS
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State | TX
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Zip | 78666-7546
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Country | US
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Telephone | 512-396-7575
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Fax | 512-396-7555
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D5046
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License Number State | TX
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