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General NPI Number Information
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NPI Number | 1952306573
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Entity Type | Organization
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Legal Business Name | JACOBS & RAMIREZ ALLERGY & IMMUNOLOGY
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8285 FREDERICKSBURG RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3358
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Country | US
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Telephone | 210-614-3923
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Fax | 210-614-3448
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Provider Business Mailing Address
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Address Line | 8285 FREDERICKSBURG RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3358
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Country | US
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Telephone | 210-614-3923
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Fax | 210-614-3448
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT LEE JACOBS
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Credential | M.D.
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Telephone | 210-614-3923
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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 | E1627
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License Number State | TX
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