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General NPI Number Information
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NPI Number | 1043246465
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Entity Type | Individual
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Provider Name | DR. EVE ANN JAMES-WILSON
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 223 E WASHINGTON ST
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City | QUINCY
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State | FL
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Zip | 32351-2471
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Country | US
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Telephone | 850-875-3908
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Fax | 850-627-4231
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Provider Business Mailing Address
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Address Line | 223E WASHINGTON ST
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City | QUINCY
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State | FL
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Zip | 32351-2472
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Country | US
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Telephone | 850-875-3908
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Fax | 850-627-4231
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN0011288
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License Number State | FL
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