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General NPI Number Information
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NPI Number | 1235113853
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Entity Type | Individual
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Provider Name | MARIE DIANE JAMES M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4018 EL INDIO HWY
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City | EAGLE PASS
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State | TX
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Zip | 78852-6690
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Country | US
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Telephone | 830-872-3460
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Fax | 830-872-3470
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Provider Business Mailing Address
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Address Line | 1144 W PIONEER PKWY STE E
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City | ARLINGTON
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State | TX
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Zip | 76013-6384
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Country | US
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Telephone | 817-792-3420
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Fax | 817-792-3919
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | K7305
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License Number State | TX
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