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General NPI Number Information
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NPI Number | 1225066731
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Entity Type | Individual
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Provider Name | JAMES COTTER III M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 1 SAINT MARY PL
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City | SHREVEPORT
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State | LA
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Zip | 71101-4343
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Country | US
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Telephone | 318-681-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SAINT MARY PL
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City | SHREVEPORT
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State | LA
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Zip | 71101-4343
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Country | US
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Telephone | 318-681-4222
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DR.0062222
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | F0429
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License Number State | TX
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