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General NPI Number Information
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NPI Number | 1043396211
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Entity Type | Individual
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Provider Name | JAMES CARROLL BOONE MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 145 LA HACIENDA WAY
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City | HUNT
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State | TX
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Zip | 78024
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Country | US
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Telephone | 830-238-6123
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Fax | 830-238-5140
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Provider Business Mailing Address
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Address Line | PO BOX 293370
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City | KERRVILLE
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State | TX
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Zip | 78029-3370
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Country | US
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Telephone | 830-238-6123
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Fax | 830-238-5140
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 68012
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | G8012
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | G8012
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License Number State | TX
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