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General NPI Number Information
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NPI Number | 1245288950
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Entity Type | Individual
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Provider Name | JAMES A LONGTON DPM
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 5555 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306-4622
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Country | US
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Telephone | 602-865-2230
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Fax | 866-598-4832
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Provider Business Mailing Address
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Address Line | 3217 E SHEA BLVD # 503
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City | PHOENIX
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State | AZ
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Zip | 85028-3340
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Country | US
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Telephone | 480-212-2959
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Fax | 866-598-4832
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0639
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License Number State | AZ
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