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General NPI Number Information
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NPI Number | 1164461299
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Entity Type | Individual
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Provider Name | JAMES K HITCHMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 149 KEY COLONY CT
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City | DAYTONA BEACH
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State | FL
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Zip | 32118-5654
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Country | US
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Telephone | 615-957-2756
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Fax | 386-788-8777
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Provider Business Mailing Address
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Address Line | 149 KEY COLONY CT
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City | DAYTONA BEACH
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State | FL
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Zip | 32118-5654
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Country | US
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Telephone | 615-957-2756
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Fax | 386-788-8777
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 07852
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13430
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 07852
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License Number State | TN
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