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General NPI Number Information
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NPI Number | 1649247966
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Entity Type | Individual
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Provider Name | JAMES KIMBRO MAGUIRE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/06/2006
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 260 FORT SANDERS WEST BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37922-3355
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Country | US
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Telephone | 865-558-4400
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Fax | 865-769-4536
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Provider Business Mailing Address
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Address Line | 260 FORT SANDERS WEST BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37922-3355
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Country | US
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Telephone | 865-769-4500
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Fax | 865-769-4557
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 15527
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD15527
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License Number State | TN
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