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General NPI Number Information
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NPI Number | 1871323667
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Entity Type | Individual
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Provider Name | BRENNAN FRAZIER JACOBS
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Gender | Female
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 2333 ONTARIO RD NW
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City | WASHINGTON
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State | DC
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Zip | 20009-2627
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Country | US
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Telephone | 202-483-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 EUCLID ST NW APT 101
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City | WASHINGTON
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State | DC
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Zip | 20009-4834
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Country | US
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Telephone | 615-430-6558
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP1048396
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License Number State | DC
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