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General NPI Number Information
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NPI Number | 1376596551
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Entity Type | Organization
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Legal Business Name | JAMES P. POWERS D.O., P.A.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 2196 MAIN ST SUITE F
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City | DUNEDIN
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State | FL
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Zip | 34698-5693
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Country | US
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Telephone | 727-738-5900
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Fax | 727-738-5740
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Provider Business Mailing Address
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Address Line | 1595 PRESERVE WAY
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City | CLEARWATER
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State | FL
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Zip | 33764-2724
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Country | US
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Telephone | 727-738-5900
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Fax | 727-738-5740
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. JAMES P POWERS
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Credential | D.O., P.A.
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Telephone | 727-738-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OS8433
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License Number State | FL
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