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General NPI Number Information
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NPI Number | 1346920063
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Entity Type | Individual
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Provider Name | JAMES D BOATMAN LMSW
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Gender | Male
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 8222 S 48TH ST STE 200
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City | PHOENIX
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State | AZ
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Zip | 85044-5303
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Country | US
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Telephone | 520-640-7189
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Fax | 866-900-9080
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Provider Business Mailing Address
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Address Line | 4590 S DESERT WILLOW WAY
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City | YUMA
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State | AZ
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Zip | 85365-5718
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Country | US
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Telephone | 760-580-4731
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-22505
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License Number State | AZ
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