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General NPI Number Information
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NPI Number | 1144256157
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Entity Type | Individual
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Provider Name | JAMES DARREL KING M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 1 PRIME CARE DR
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City | SELMER
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State | TN
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Zip | 38375-1864
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Country | US
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Telephone | 731-645-7932
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Fax | 731-645-5195
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Provider Business Mailing Address
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Address Line | 1 PRIME CARE DR
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City | SELMER
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State | TN
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Zip | 38375-1864
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Country | US
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Telephone | 731-645-7932
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Fax | 731-645-5195
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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 | 14266
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 16404
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License Number State | MS
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