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General NPI Number Information
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NPI Number | 1881628980
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Entity Type | Individual
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Provider Name | DAVID ALLEN JUMP D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 1100 NEAL ZICK RD
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City | WILLARD
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State | OH
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Zip | 44890-9287
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Country | US
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Telephone | 419-933-2811
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Fax | 419-933-4502
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Provider Business Mailing Address
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Address Line | 1100 NEAL ZICK RD
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City | WILLARD
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State | OH
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Zip | 44890-9287
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Country | US
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Telephone | 419-933-2811
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Fax | 419-933-4502
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34-00-3318
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34003318
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License Number State | OH
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