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General NPI Number Information
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NPI Number | 1194711176
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Entity Type | Individual
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Provider Name | JAMES C JUSTICE MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 1400 E CHURCH ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-5906
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Country | US
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Telephone | 805-739-3100
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Fax | 805-739-3060
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Provider Business Mailing Address
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Address Line | DEPT LA23517
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City | PASADENA
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State | CA
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Zip | 91185-3517
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Country | US
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Telephone | 866-457-6411
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Fax | 706-650-1034
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A71616
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License Number State | CA
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