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General NPI Number Information
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NPI Number | 1235661711
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Entity Type | Individual
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Provider Name | JAMES BENJAMIN SINCEBAUGH
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Gender | Male
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 96 JONATHAN LUCAS STREET STE 816 MSC 630
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City | CHARLESTON
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State | SC
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Zip | 29425-8900
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Country | US
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Telephone | 843-792-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 WILLIVEE DR
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City | DECATUR
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State | GA
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Zip | 30033-4120
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Country | US
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Telephone | 585-704-4868
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 64250
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 86605
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 90741
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License Number State | SC
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