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General NPI Number Information
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NPI Number | 1225595622
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Entity Type | Individual
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Provider Name | JAMES J DEVINS JR.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 1724 ST RT 728
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City | LUCASVILLE
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State | OH
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Zip | 45699-0001
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Country | US
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Telephone | 740-259-5544
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Fax | 740-259-2882
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Provider Business Mailing Address
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Address Line | 379 BENNETT RD
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City | MINFORD
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State | OH
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Zip | 45653-8958
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Country | US
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Telephone | 317-750-3608
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1800964
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License Number State | OH
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