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General NPI Number Information
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NPI Number | 1073900841
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Entity Type | Individual
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Provider Name | JAMES WILLARD PFEIFER D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 2019 CENTRE POINTE BLVD STE 102
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City | TALLAHASSEE
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State | FL
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Zip | 32308
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Country | US
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Telephone | 850-765-2460
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Fax | 850-765-9094
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Provider Business Mailing Address
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Address Line | 2019 CENTRE POINTE BLVD STE 102
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City | TALLAHASSEE
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State | FL
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Zip | 32308-7825
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Country | US
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Telephone | 850-765-2460
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Fax | 850-765-9094
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS15527
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License Number State | FL
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