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General NPI Number Information
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NPI Number | 1063998615
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Entity Type | Organization
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Legal Business Name | JAMES F MITCHELL JR MD INC
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 2705 LOMA VISTA RD STE 205
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City | VENTURA
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State | CA
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Zip | 93003
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Country | US
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Telephone | 805-585-3086
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1206
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City | GOLETA
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State | CA
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Zip | 93116-1206
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Country | US
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Telephone | 805-964-3838
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Fax | 805-683-3400
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES F MITCHELL JR.
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Credential | MD
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Telephone | 805-886-8193
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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 | G46712
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License Number State | CA
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