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General NPI Number Information
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NPI Number | 1609950898
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Entity Type | Individual
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Provider Name | JAMES JOSEPH FLERRA DDS
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 535 BROOKDALE DR
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City | STATESVILLE
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State | NC
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Zip | 28677-4107
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Country | US
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Telephone | 704-878-6543
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Fax | 704-924-6864
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Provider Business Mailing Address
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Address Line | 1159 LAKESIDE DR
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City | STATESVILLE
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State | NC
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Zip | 28677-3426
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Country | US
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Telephone | 704-872-2231
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7275
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License Number State | NC
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