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General NPI Number Information
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NPI Number | 1023115987
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Entity Type | Individual
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Provider Name | JAMES WILLIAM ALLEN DMD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 250 BEAUVOIR RD STE 1A
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City | BILOXI
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State | MS
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Zip | 39531
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Country | US
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Telephone | 228-385-3038
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Fax | 228-385-3077
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Provider Business Mailing Address
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Address Line | 250 BEAUVOIR RD STE 1A
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City | BILOXI
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State | MS
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Zip | 39531
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Country | US
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Telephone | 228-385-3038
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Fax | 228-385-3077
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2929
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License Number State | MS
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