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General NPI Number Information
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NPI Number | 1598857096
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Entity Type | Individual
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Provider Name | JAMES ALAN CONYERS MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 3705 MEDICAL PKWY SUITE 250
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City | AUSTIN
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State | TX
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Zip | 78705-1019
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Country | US
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Telephone | 512-302-1210
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Fax | 512-451-9752
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Provider Business Mailing Address
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Address Line | 3705 MEDICAL PKWY SUITE 250
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City | AUSTIN
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State | TX
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Zip | 78705-1019
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Country | US
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Telephone | 512-302-1210
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Fax | 512-451-9752
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E4268
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License Number State | TX
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