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General NPI Number Information
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NPI Number | 1881689073
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Entity Type | Individual
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Provider Name | SHEILA WERCH JACOBSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 9225 KATY FWY STE 415
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City | HOUSTON
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State | TX
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Zip | 77024-1531
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Country | US
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Telephone | 713-464-0822
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Fax | 713-932-1621
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Provider Business Mailing Address
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Address Line | 9235 KATY FWY STE 330
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City | HOUSTON
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State | TX
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Zip | 77024-1533
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Country | US
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Telephone | 713-464-0822
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Fax | 713-932-1621
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | H6310
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License Number State | TX
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