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General NPI Number Information
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NPI Number | 1700771169
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Entity Type | Individual
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Provider Name | NOEL A JAMES JR. DMD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1135 GA-85 STE A
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City | FAYETTEVILLE
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State | GA
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Zip | 30214
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Country | US
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Telephone | 770-282-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 GA-85, FAYETTEVILLE, GA
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City | FAYETTEVILLE
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State | GA
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Zip | 30214
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Country | US
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Telephone | 770-282-2160
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH100628
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN123965
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License Number State | GA
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