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General NPI Number Information
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NPI Number | 1033391818
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Entity Type | Organization
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Legal Business Name | JIM W. TURNAGE MD PROFESSIONAL CORP
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 7625 MESA COLLEGE DR SUITE 101
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City | SAN DIEGO
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State | CA
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Zip | 92111-5343
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Country | US
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Telephone | 858-569-6800
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Fax | 858-569-6807
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Provider Business Mailing Address
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Address Line | 7625 MESA COLLEGE DR SUITE 101
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City | SAN DIEGO
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State | CA
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Zip | 92111-5343
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Country | US
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Telephone | 858-569-6800
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Fax | 858-569-6807
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Authorized Official
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Title or Position | OWNER
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Name | DR. JIM W TURNAGE
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Credential | MD
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Telephone | 858-569-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G79173
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License Number State | CA
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