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General NPI Number Information
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NPI Number | 1336298678
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Entity Type | Organization
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Legal Business Name | JAMES L. SOUERS, D.D.S., ORTHODONTIST, P.C.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 950 N 10TH ST SUITE 110
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City | KALAMAZOO
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State | MI
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Zip | 49009-6112
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Country | US
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Telephone | 269-544-1222
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Fax | 269-544-1221
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Provider Business Mailing Address
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Address Line | 950 N 10TH ST SUITE 110
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City | KALAMAZOO
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State | MI
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Zip | 49009-6112
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Country | US
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Telephone | 269-544-1222
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Fax | 269-544-1221
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. JAMES L SOUERS
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Credential | D.D.S.,PC
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Telephone | 269-544-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 2901010033
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License Number State | MI
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