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General NPI Number Information
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NPI Number | 1649376930
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Entity Type | Individual
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Provider Name | JAMES BLAKELY LOHR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3350 VIA LA JOLLA
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City | SAN DIEGO
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State | CA
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Zip | 92161-0001
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Country | US
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Telephone | 858-642-3762
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Fax | 858-612-1447
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Provider Business Mailing Address
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Address Line | 864 GRAND AVE # 479
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City | SAN DIEGO
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State | CA
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Zip | 92109-3906
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G63913
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License Number State | CA
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