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General NPI Number Information
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NPI Number | 1023158334
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Entity Type | Individual
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Provider Name | JAMES PATRICK WARE MD
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6340 SUGARLOAF PKWY SUITE 200
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City | DULUTH
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State | GA
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Zip | 30097-4333
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Country | US
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Telephone | 770-806-8323
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 871149
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-0029
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Country | US
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Telephone | 770-806-8323
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Fax |
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 015695
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License Number State | GA
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