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General NPI Number Information
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NPI Number | 1982982344
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Entity Type | Individual
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Provider Name | LAURA ANN JACOBS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 6159 1ST FINANCIAL DR ST. ELIZABETH PHYSICIANS
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City | BURLINGTON
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State | KY
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Zip | 41005-7892
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Country | US
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Telephone | 859-586-8200
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Fax | 859-586-8233
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-586-8200
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Fax | 859-586-8233
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3007064
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License Number State | KY
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