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General NPI Number Information
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NPI Number | 1912081746
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Entity Type | Individual
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Provider Name | JEFFREY JACOBS MD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 210 JUPITER LAKES BLVD # 3000S202
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City | JUPITER
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State | FL
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Zip | 33458-7191
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Country | US
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Telephone | 561-510-7232
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Fax | 561-444-6407
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Provider Business Mailing Address
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Address Line | 210 JUPITER LAKES BLVD STE 202
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City | JUPITER
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State | FL
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Zip | 33458-7188
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Country | US
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Telephone | 561-510-7232
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Fax | 561-444-6407
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | ME147005
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License Number State | FL
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