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General NPI Number Information
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NPI Number | 1336311695
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Entity Type | Organization
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Legal Business Name | JAMES MEDICAL CENTER PA
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 627 ELDRON DR
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-7113
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Country | US
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Telephone | 305-885-1623
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Fax | 305-885-1811
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Provider Business Mailing Address
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Address Line | 627 ELDRON DR
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-7113
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Country | US
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Telephone | 305-885-1623
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Fax | 305-885-1811
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Authorized Official
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Title or Position | DIRECTOR AND PRESIDENT
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Name | CHARLES C JAMES
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Credential | M.D.
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Telephone | 305-885-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 0009521
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License Number State | FL
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