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General NPI Number Information
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NPI Number | 1104592294
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Entity Type | Individual
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Provider Name | JAMES EAGLETON
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Gender | Male
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 6410 FANNIN ST STE 1400
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City | HOUSTON
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State | TX
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Zip | 77030-5389
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Country | US
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Telephone | 832-325-7125
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Fax | 713-512-2200
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Provider Business Mailing Address
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Address Line | 2525 E 46TH PL
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City | TULSA
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State | OK
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Zip | 74105-5148
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Country | US
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Telephone | 918-691-0055
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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