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General NPI Number Information
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NPI Number | 1609886738
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Entity Type | Organization
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Legal Business Name | JAMES L POTH, MD INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 419 CARBONERA DR
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City | SANTA CRUZ
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State | CA
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Zip | 95060-1608
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Country | US
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Telephone | 831-426-0607
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Fax | 831-427-1525
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Provider Business Mailing Address
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Address Line | 419 CARBONERA DR
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City | SANTA CRUZ
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State | CA
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Zip | 95060-1608
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Country | US
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Telephone | 831-426-0607
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Fax | 831-427-1525
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JANIS HOKANSON
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Credential |
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Telephone | 831-426-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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