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General NPI Number Information
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NPI Number | 1801971338
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Entity Type | Individual
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Provider Name | THADDEUS EDWARD JACOBS ND, LAC
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 34 E SOLA ST STE 1
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City | SANTA BARBARA
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State | CA
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Zip | 93101-6506
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Country | US
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Telephone | 805-966-3003
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Fax | 805-966-2990
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Provider Business Mailing Address
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Address Line | 65 SAINT MORITZ TER
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City | PARK CITY
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State | UT
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Zip | 84098-5241
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Country | US
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Telephone | 805-452-7353
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 7162897-1201
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 7162897-7100
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License Number State | UT
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