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General NPI Number Information
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NPI Number | 1669523924
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Entity Type | Organization
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Legal Business Name | JAMES D. NEAVES DDS PA
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 207 N HUNTINGTON ST
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City | KOSCIUSKO
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State | MS
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Zip | 39090-3351
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Country | US
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Telephone | 662-289-2771
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Fax | 662-289-2771
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Provider Business Mailing Address
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Address Line | 207 N HUNTINGTON ST
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City | KOSCIUSKO
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State | MS
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Zip | 39090-3351
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Country | US
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Telephone | 662-289-2771
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Fax | 662-289-2771
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES DAVID NEAVES
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Credential |
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Telephone | 662-289-2771
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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 | 1465-71
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License Number State | MS
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