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General NPI Number Information
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NPI Number | 1396005468
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Entity Type | Organization
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Legal Business Name | JAMES E GAFF AND ASSOCIATES INC
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 8101 SOUTHSIDE BLVD SUITE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8067
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Country | US
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Telephone | 904-641-2655
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Fax | 904-646-1648
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Provider Business Mailing Address
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Address Line | 8101 SOUTHSIDE BLVD SUITE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8067
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Country | US
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Telephone | 904-641-2655
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Fax | 904-646-1648
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES E GAFF
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Credential | DDS
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Telephone | 904-641-2655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5907
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License Number State | FL
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