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General NPI Number Information
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NPI Number | 1326522574
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Entity Type | Individual
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Provider Name | JAMES THOMAS KANE II PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/23/2018
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 425 E 1ST ST
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City | BLOOMSBURG
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State | PA
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Zip | 17815-1480
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Country | US
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Telephone | 570-416-1890
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Fax | 570-416-1892
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Provider Business Mailing Address
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Address Line | 936 AVENUE G
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City | DANVILLE
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State | PA
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Zip | 17821-7843
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Country | US
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Telephone | 570-406-7150
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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