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General NPI Number Information
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NPI Number | 1609976125
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Entity Type | Individual
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Provider Name | JAMES DANIEL BIRD SR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | U S DEPARTMENT OF STATE M/MED/QI, SA-1
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City | WASHINGTON
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State | DC
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Zip | 20522-0001
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Country | US
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Telephone | 914-822-2649
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Fax | 703-343-8684
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Provider Business Mailing Address
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Address Line | DEPARTMENT OF STATE AMERICAN EMBASSY-MEDICAL UNIT
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City | APO
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State | AE
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Zip | 09316
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Country | IQ
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Telephone | 914-822-2649
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Fax | 703-343-8684
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2714
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License Number State | AZ
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