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General NPI Number Information
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NPI Number | 1891895280
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Entity Type | Individual
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Provider Name | GEORGE B JACOBS MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 5506 HARBOUR PRESERVE CIR
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City | CAPE CORAL
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State | FL
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Zip | 33914-2534
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Country | US
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Telephone | 239-549-4610
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Fax | 239-549-2859
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Provider Business Mailing Address
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Address Line | 5506 HARBOUR PRESERVE CIR
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City | CAPE CORAL
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State | FL
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Zip | 33914-2534
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Country | US
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Telephone | 239-549-4610
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Fax | 239-549-2859
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME31130
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME31130
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License Number State | FL
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