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General NPI Number Information
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NPI Number | 1760510580
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Entity Type | Organization
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Legal Business Name | JAMES F JACOBS, PH.D., LMFT
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 211 N 5TH AVE
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City | HOPEWELL
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State | VA
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Zip | 23860-2509
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Country | US
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Telephone | 804-586-7017
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Fax | 804-458-1011
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Provider Business Mailing Address
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Address Line | 10807 STERLING COVE DR
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City | CHESTERFIELD
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State | VA
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Zip | 23838-5247
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Country | US
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Telephone | 804-586-7017
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Fax | 804-748-9517
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES FRANKLIN JACOBS
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Credential | PH.D.
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Telephone | 804-586-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 14421
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00000856
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 004765
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 017000722
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License Number State | VA
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