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General NPI Number Information
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NPI Number | 1285639419
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Entity Type | Individual
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Provider Name | JAMES JOSEPH SORCE MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 801 STEVE HAWKINS PKWY
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City | MARBLE FALLS
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State | TX
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Zip | 78654-6303
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Country | US
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Telephone | 830-992-2830
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Fax | 512-339-1663
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Provider Business Mailing Address
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Address Line | 28505 SHAILENE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78260-1446
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Country | US
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Telephone | 956-648-1119
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | K1070
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License Number State | TX
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