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General NPI Number Information
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NPI Number | 1255603189
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Entity Type | Organization
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Legal Business Name | A1A MEDICAL
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 1401 NORTH ATLANTIC AVENUE
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City | DAYTONA BEACH
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State | FL
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Zip | 32118
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Country | US
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Telephone | 386-257-6565
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Fax | 386-252-5314
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Provider Business Mailing Address
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Address Line | PO BOX 373
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City | OAK HILL
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State | FL
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Zip | 32759
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Country | US
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Telephone | 386-345-1981
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Fax | 386-345-0007
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. JAMES J BYRNE
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Credential | DO
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Telephone | 386-345-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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