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Individual
DR. RICHARD PAUL JACOBY
Active
Individual
DR. RICHARD PAUL JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00084
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0744380001
DMERC PIN
AZ
01
—
189007100
DEPT OF LABOR
AZ
01
—
1Z1219
HEALTHNET PIN
AZ
01
—
2572688
AETNA PIN
AZ
01
—
480127724
RR MEDICARE PIN
AZ
05
—
700626
—
AZ
01
—
AZ0190960
BCBSAZ PIN
AZ
Enumeration date
12/28/2005
Last updated
04/20/2023
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