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General NPI Number Information
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NPI Number | 1093713497
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Entity Type | Individual
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Provider Name | JAMES M ZODROW M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 3900 AMERICAN DR SUITE 203
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City | PLANO
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State | TX
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Zip | 75075-6191
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Country | US
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Telephone | 972-398-0734
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Fax | 972-398-0736
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Provider Business Mailing Address
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Address Line | 3900 AMERICAN DR SUITE 203
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City | PLANO
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State | TX
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Zip | 75075-6191
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Country | US
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Telephone | 972-398-0734
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Fax | 972-398-0736
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J3662
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License Number State | TX
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