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General NPI Number Information
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NPI Number | 1407840978
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Entity Type | Individual
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Provider Name | TYSHAUN M JAMES-HART MD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 250 STANAFORD RD SUITE 105
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City | BECKLEY
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State | WV
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Zip | 25801-3140
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Country | US
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Telephone | 304-254-2667
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Fax | 304-254-2732
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | HINTON
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State | WV
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Zip | 25951-0009
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Country | US
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Telephone | 304-466-2944
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Fax | 304-466-2943
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 21616
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License Number State | WV
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