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General NPI Number Information
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NPI Number | 1114968666
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Entity Type | Individual
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Provider Name | RANDALL H JAMES DO
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 2828 1ST AVE HIGHAWN MEDICAL BUILDING, STE 504
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City | HUNTINGTON
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State | WV
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Zip | 25702-1236
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Country | US
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Telephone | 304-399-7212
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Fax | 304-399-7215
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Provider Business Mailing Address
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Address Line | 2828 1ST AVE HIGHAWN MEDICAL BUILDING, STE 504
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City | HUNTINGTON
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State | WV
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Zip | 25702-1236
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Country | US
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Telephone | 304-399-7212
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Fax | 304-399-7215
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036111718
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 5101017513
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2401
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 6154
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | DOS-750
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 02003421A
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License Number State | IN
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