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General NPI Number Information
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NPI Number | 1649281866
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Entity Type | Individual
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Provider Name | AARON M. JACOBY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 10 N GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1524
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Country | US
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Telephone | 443-591-4388
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Fax |
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Provider Business Mailing Address
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Address Line | VA PITTSBURGH HEALTHCARE SYSTEM 7180 HIGHLAND DRIVE, MC 116A-H
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City | PITTSBURGH
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State | PA
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Zip | 15206
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Country | US
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Telephone | 412-365-4611
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05957
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License Number State | MD
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