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General NPI Number Information
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NPI Number | 1063679165
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Entity Type | Individual
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Provider Name | JAMES DAVID HADDOX DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2008
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Last Update Date | 05/18/2008
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Provider Practice Location Address
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Address Line | 23 CHADWICK CT
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City | MONROE
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State | CT
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Zip | 06468-4208
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Country | US
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Telephone | 203-445-9041
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Fax | 203-445-9052
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Provider Business Mailing Address
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Address Line | 23 CHADWICK CT
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City | MONROE
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State | CT
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Zip | 06468-4208
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Country | US
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Telephone | 203-445-9041
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Fax | 203-445-9052
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD.21660
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 26985-020
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License Number State | WI
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