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General NPI Number Information
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NPI Number | 1033818596
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Entity Type | Individual
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Provider Name | IAN S JAMES APRN
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Gender | Male
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 10735 SW 166TH TER
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City | MIAMI
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State | FL
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Zip | 33157-2974
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Country | US
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Telephone | 786-531-2717
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Fax |
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Provider Business Mailing Address
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Address Line | 10735 SW 166TH TER
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City | MIAMI
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State | FL
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Zip | 33157-2974
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Country | US
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Telephone | 786-531-2717
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11023377
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11023377
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License Number State | FL
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