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NPI 1205818465

NPI 1205818465 : JAMES WESTON HOLE DO : MADERA, CA

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General NPI Number Information
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    NPI Number           |    1205818465
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES WESTON HOLE DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/15/2005
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    Last Update Date     |    01/06/2020
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Provider Practice Location Address
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    Address Line         |    9300 VALLEY CHILDREN'S PL FE16
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    City                 |    MADERA
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    State                |    CA
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    Zip                  |    93636
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    Country              |    US
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    Telephone            |    559-353-6700
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    Fax                  |    559-353-6710
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Provider Business Mailing Address
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    Address Line         |    9300 VALLEY CHILDREN'S PL SC05
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    City                 |    MADERA
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    State                |    CA
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    Zip                  |    93636
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    Country              |    US
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    Telephone            |    559-353-5714
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    Fax                  |    559-353-5708
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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        |    207VM0101X
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    Taxonomy Name        |    Maternal & Fetal Medicine Physician
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    License Number       |    20A17508
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    License Number State |    CA
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