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General NPI Number Information
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NPI Number | 1841446556
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Entity Type | Individual
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Provider Name | MARCIA E. JACOBS F.N.P. - B.C.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2 EMBARCADERO CTR LBBY LEVEL
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3823
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 450 ALASKAN WAY S STE 200
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City | SEATTLE
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State | WA
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Zip | 98104-2785
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Country | US
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Telephone | 888-731-8994
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Fax | 833-775-1861
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95006066
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13567
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP9819
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License Number State | AZ
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