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General NPI Number Information
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NPI Number | 1306895347
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Entity Type | Individual
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Provider Name | MICHAEL DAVID JAMESON M.D
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 1132 S BOWEN RD
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City | ARLINGTON
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State | TX
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Zip | 76013-2204
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Country | US
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Telephone | 817-265-9700
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Fax | 817-277-4164
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Provider Business Mailing Address
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Address Line | 8600 MEADOWBROOK DR
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City | FORT WORTH
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State | TX
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Zip | 76120-4612
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Country | US
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Telephone | 817-265-9700
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Fax | 817-277-4164
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | HO492
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License Number State | TX
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