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General NPI Number Information
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NPI Number | 1437350113
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Entity Type | Organization
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Legal Business Name | JAMES A STEPHENS, OD & ASSOCIATES PA
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 21 S MADISON ST
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City | QUINCY
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State | FL
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Zip | 32351-3137
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Country | US
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Telephone | 850-627-9521
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Fax | 850-627-9975
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Provider Business Mailing Address
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Address Line | 1480 TIMBERLANE RD
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City | TALLAHASSEE
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State | FL
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Zip | 32312-1713
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Country | US
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Telephone | 850-893-4005
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Fax | 850-893-9987
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES A STEPHENS
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Credential | OD
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Telephone | 850-893-4005
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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 | ME71349
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC935
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License Number State | FL
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