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General NPI Number Information
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NPI Number | 1184976250
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Entity Type | Organization
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Legal Business Name | JAMES R. ESTHER,M.D.,INC
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 65 N MADISON AVE SUITE 409
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City | PASADENA
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State | CA
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Zip | 91101-2035
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Country | US
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Telephone | 626-796-2695
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Fax | 626-796-2696
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Provider Business Mailing Address
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Address Line | 65 N MADISON AVE SUITE 409
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City | PASADENA
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State | CA
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Zip | 91101-2035
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Country | US
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Telephone | 626-796-2695
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Fax | 626-796-2696
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES RICHARD ESTHER
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Credential | M.D.
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Telephone | 626-796-2695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G12360
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License Number State | CA
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