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General NPI Number Information
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NPI Number | 1689252843
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Entity Type | Individual
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Provider Name | JAMES CHRISTOPHER HEALY
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Gender | Male
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 3106 INDEPENDENCE DR
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4112
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Country | US
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Telephone | 205-871-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 2808 SAINT LEONARD DR
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City | TALLAHASSEE
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State | FL
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Zip | 32312-3038
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Country | US
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Telephone | 850-694-1391
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO.3621
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License Number State | AL
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