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General NPI Number Information
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NPI Number | 1912298100
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Entity Type | Individual
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Provider Name | JANET R. JACOBS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2 FOUNTAIN PLZ
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City | BUFFALO
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State | NY
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Zip | 14202-2220
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Country | US
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Telephone | 541-292-0900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | BUFFALO
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State | NY
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Zip | 14201-0202
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Country | US
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Telephone | 541-292-0900
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026989
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License Number State | NY
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