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General NPI Number Information
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NPI Number | 1649254426
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Entity Type | Individual
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Provider Name | JAMES TATE MD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 2888 EUREKA WAY STE 100
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City | REDDING
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State | CA
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Zip | 96001-0210
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Country | US
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Telephone | 530-243-9200
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Fax | 530-243-9201
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Provider Business Mailing Address
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Address Line | 2888 EUREKA WAY STE 100
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City | REDDING
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State | CA
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Zip | 96001-0210
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Country | US
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Telephone | 530-243-9200
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Fax | 530-243-9201
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A89157
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License Number State | CA
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