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General NPI Number Information
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NPI Number | 1114255262
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Entity Type | Organization
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Legal Business Name | JAMES N. PACE
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 916 PENN AVE
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City | WYOMISSING
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State | PA
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Zip | 19610-3017
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Country | US
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Telephone | 610-376-5649
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Fax | 610-376-4194
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Provider Business Mailing Address
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Address Line | 916 PENN AVE
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City | WYOMISSING
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State | PA
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Zip | 19610-3017
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Country | US
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Telephone | 610-376-5649
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Fax | 610-376-4194
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES NICHOLAS PACE
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Credential | DPM
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Telephone | 610-376-5649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | SC002934L
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License Number State | PA
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