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General NPI Number Information
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NPI Number | 1316123268
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Entity Type | Organization
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Legal Business Name | JAMES M CURTIS
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 130 S BRADLEY HWY
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City | ROGERS CITY
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State | MI
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Zip | 49779-2123
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Country | US
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Telephone | 989-734-4706
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Fax | 989-734-0381
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Provider Business Mailing Address
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Address Line | 130 S BRADLEY HWY
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City | ROGERS CITY
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State | MI
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Zip | 49779-2123
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Country | US
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Telephone | 989-734-4706
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Fax | 989-734-0381
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JAMES MCINTYRE CURTIS
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Credential | OD
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Telephone | 989-734-4706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | JC002688
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License Number State | MI
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