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General NPI Number Information
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NPI Number | 1679772685
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Entity Type | Organization
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Legal Business Name | JAMES D BOMBOY JR MD PC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 2000 CHURCH ST
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City | NASHVILLE
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State | TN
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Zip | 37236-0002
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Country | US
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Telephone | 615-284-6399
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Fax | 615-217-8525
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Provider Business Mailing Address
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Address Line | 403 LYNNWOOD BLVD
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City | NASHVILLE
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State | TN
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Zip | 37205-3434
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Country | US
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Telephone | 615-292-8144
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Fax | 615-217-8525
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES D BOMBOY JR.
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Credential | M.D.
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Telephone | 615-292-8144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 8197
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License Number State | TN
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