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General NPI Number Information
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NPI Number | 1376504118
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Entity Type | Individual
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Provider Name | JAMES L IGLEBURGER MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 14 RACETRACK RD NW
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1642
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Country | US
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Telephone | 850-374-3990
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Fax | 850-374-8133
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Provider Business Mailing Address
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Address Line | 14 RACETRACK RD NW
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1642
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Country | US
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Telephone | 850-374-3990
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Fax | 850-374-8133
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 94223
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME94223
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License Number State | FL
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