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General NPI Number Information
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NPI Number | 1104895242
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Entity Type | Individual
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Provider Name | JAMES GEORGE ARD D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 200 W HOSPITAL DR
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City | WHITERIVER
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State | AZ
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Zip | 85941-0860
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Country | US
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Telephone | 928-338-4911
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Fax | 928-338-5508
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Provider Business Mailing Address
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Address Line | 650 N PENROD RD # 707
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City | SHOW LOW
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State | AZ
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Zip | 85901-5284
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Country | US
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Telephone | 808-280-9539
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DOS-714
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License Number State | HI
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