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General NPI Number Information
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NPI Number | 1720908817
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Entity Type | Individual
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Provider Name | JACOB WAY
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Gender | Male
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 39514 BRADBURY LN
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-4974
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Country | US
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Telephone | 225-290-1766
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Fax |
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Provider Business Mailing Address
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Address Line | 39514 BRADBURY LN
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-4974
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Country | US
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Telephone | 225-290-1766
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 202662
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License Number State | LA
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