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General NPI Number Information
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NPI Number | 1063718492
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Entity Type | Organization
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Legal Business Name | JAMES M. FOSS M. D.
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 06/05/2011
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Provider Practice Location Address
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Address Line | 13410 PACIFIC AVE S
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City | TACOMA
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State | WA
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Zip | 98444-4866
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Country | US
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Telephone | 253-531-7722
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Fax | 253-535-3658
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Provider Business Mailing Address
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Address Line | 13410 PACIFIC AVE S
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City | TACOMA
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State | WA
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Zip | 98444-4866
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Country | US
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Telephone | 253-531-7722
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Fax | 253-535-3658
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Authorized Official
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Title or Position | OWNER
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Name | JAMES MICHAEL FOSS
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Credential | M. D.
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Telephone | 253-531-7722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | WA00016278
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License Number State | WA
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