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General NPI Number Information
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NPI Number | 1174895916
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Entity Type | Individual
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Provider Name | JAMES PATRICK PULLMAN PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 111A MAIN ST W
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City | NEW ALBANY
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State | MS
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Zip | 38652-3324
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Country | US
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Telephone | 662-538-8258
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Fax |
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Provider Business Mailing Address
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Address Line | 111A MAIN ST W
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City | NEW ALBANY
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State | MS
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Zip | 38652-3324
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Country | US
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Telephone | 662-538-8258
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Fax |
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT1161
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License Number State | MS
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