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Organization

CLEARALL AIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT WILLIAM JACOBS JR. (CO-FOUNDER)
(703) 627-0879
Entity
Organization

Contact information

Practice address
5410 RITCHIE HWY STE A, BROOKLYN PARK, MD 21225-3069
(667) 930-5999
Mailing address
PO BOX 46, TERRA CEIA, FL 34250-0046
(667) 930-5999

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
987202700
MD
Enumeration date
05/10/2022
Last updated
10/28/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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