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General NPI Number Information
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NPI Number | 1194931592
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Entity Type | Organization
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Legal Business Name | JAMES R BOND, JR MD PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1615 LANCASTER DRIVE SUITE 107
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City | GRAPEVINE
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State | TX
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Zip | 76051-2111
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Country | US
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Telephone | 817-488-5555
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Fax | 817-421-0400
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Provider Business Mailing Address
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Address Line | 1615 LANCASTER DR SUITE 107
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City | GRAPEVINE
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State | TX
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Zip | 76051-2111
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Country | US
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Telephone | 817-488-5555
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Fax | 817-421-0400
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES RAY BOND JR.
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Credential | M.D.
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Telephone | 817-488-5555
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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 |
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License Number State |
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