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General NPI Number Information
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NPI Number | 1235133257
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Entity Type | Individual
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Provider Name | JAMES E CAIN JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 525 WEST RIVER WOODS PARKWAY SUITE 130
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City | GLENDALE
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State | WI
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Zip | 53212
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Country | US
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Telephone | 414-961-0304
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Fax | 414-961-2061
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Provider Business Mailing Address
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Address Line | 525 WEST RIVER WOODS PARKWAY SUITE 130
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City | GLENDALE
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State | WI
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Zip | 53212-1058
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Country | US
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Telephone | 414-961-0304
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Fax | 414-961-2061
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 33238
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 7792214-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 33238
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License Number State | WI
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