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General NPI Number Information
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NPI Number | 1487648002
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Entity Type | Individual
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Provider Name | JAMES FRANK MOON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 2460 S PARKVIEW LOOP STE 203
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City | YUMA
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State | AZ
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Zip | 85364-5358
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Country | US
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Telephone | 928-336-2619
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 W 24TH ST SUITE A201
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City | YUMA
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State | AZ
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Zip | 85364-6370
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Country | US
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Telephone | 928-341-1981
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Fax | 928-341-1984
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 17167
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License Number State | AZ
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