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General NPI Number Information
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NPI Number | 1043193246
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Entity Type | Individual
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Provider Name | JAMES NEW
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Gender | Male
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 80 HIGHWAY 2227
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City | SOMERSET
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State | KY
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Zip | 42503-1562
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Country | US
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Telephone | 606-485-9323
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Fax |
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Provider Business Mailing Address
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Address Line | 101 PARK AVE APT 9 JAMESNEW1218@ICLOUD.COM
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City | SOMERSET
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State | KY
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Zip | 42501
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Country | US
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Telephone | 606-383-1386
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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