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General NPI Number Information
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NPI Number | 1699067066
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Entity Type | Organization
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Legal Business Name | JACOBS AUDIOLOGY LLC
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 6915 LAUREL BOWIE RD STE 304
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City | BOWIE
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State | MD
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Zip | 20715-1725
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Country | US
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Telephone | 301-860-1124
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Fax | 240-929-4640
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Provider Business Mailing Address
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Address Line | 6915 LAUREL BOWIE RD STE 304
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City | BOWIE
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State | MD
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Zip | 20715-1725
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Country | US
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Telephone | 301-860-1124
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MS. MARCIA E JACOBS
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Credential | M.A.
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Telephone | 301-860-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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