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General NPI Number Information
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NPI Number | 1104017441
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Entity Type | Individual
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Provider Name | MISTI P JAMES D.D.S
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 7200 W HIGHWAY 71 SUITE A
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City | AUSTIN
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State | TX
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Zip | 78735-8315
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Country | US
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Telephone | 512-288-2823
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Fax | 512-288-5435
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Provider Business Mailing Address
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Address Line | 7200 W HIGHWAY 71 SUITE A
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City | AUSTIN
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State | TX
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Zip | 78735-8315
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Country | US
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Telephone | 512-288-2823
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Fax | 512-288-5435
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22659
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License Number State | TX
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