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General NPI Number Information
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NPI Number | 1225250640
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Entity Type | Individual
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Provider Name | TERRY MATTHEW JAMES M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 16356 COUNTY ROAD 41
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City | ADDISON
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State | AL
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Zip | 35540-2416
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Country | US
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Telephone | 256-747-1186
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Fax | 256-747-1196
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Provider Business Mailing Address
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Address Line | 16356 COUNTY ROAD 41
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City | ADDISON
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State | AL
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Zip | 35540-2416
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Country | US
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Telephone | 256-747-1186
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Fax | 256-747-1196
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L-2816
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28387
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License Number State | AL
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