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General NPI Number Information
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NPI Number | 1548250012
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Entity Type | Organization
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Legal Business Name | MINOR & JAMES MEDICAL PLLC
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 515 MINOR AVE
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City | SEATTLE
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State | WA
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Zip | 98104-2120
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Country | US
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Telephone | 206-386-9500
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Fax | 206-386-9605
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Provider Business Mailing Address
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Address Line | PO BOX 26947
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City | SALT LAKE CITY
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State | UT
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Zip | 84126-0947
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Country | US
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Telephone | 206-386-9500
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Fax | 206-386-9605
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Authorized Official
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Title or Position | CMO
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Name | MR. JAMES C MARTIN
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Credential | MD
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Telephone | 206-386-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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