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General NPI Number Information
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NPI Number | 1134354442
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Entity Type | Organization
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Legal Business Name | JAMES M. FOLEY PA
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Dates
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Enumeration Date | 05/17/2009
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 340 TWIN LAKES DR
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City | SANTA ROSA
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State | CA
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Zip | 95409-6445
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Country | US
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Telephone | 207-651-1171
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Fax |
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Provider Business Mailing Address
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Address Line | 340 TWIN LAKES DR
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City | SANTA ROSA
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State | CA
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Zip | 95409-6445
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Country | US
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Telephone | 207-651-1171
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JAMES MICHAEL FOLEY
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Credential | D.ED.
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Telephone | 207-651-1171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 0411
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License Number State | ME
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