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General NPI Number Information
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NPI Number | 1598167991
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Entity Type | Individual
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Provider Name | JAMES FEEZOR PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 4700 LAS VEGAS BLVD N
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City | NELLIS AFB
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State | NV
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Zip | 89191-6600
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Country | US
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Telephone | 702-653-2114
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Fax |
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Provider Business Mailing Address
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Address Line | 829 NH ROUTE 11
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City | FARMINGTON
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State | NH
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Zip | 03835-3661
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Country | US
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Telephone | 603-755-2440
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PR70617
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S020900
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHCY-00973
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License Number State | NH
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