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General NPI Number Information
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NPI Number | 1083616114
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Entity Type | Individual
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Provider Name | JAMES AARON WITHROW D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 1344 22ND ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33712-2744
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Country | US
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Telephone | 727-824-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 58TH ST N
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City | CLEARWATER
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State | FL
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Zip | 33760-9900
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Country | US
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Telephone |
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Fax | 727-824-8165
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9855
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License Number State | FL
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