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General NPI Number Information
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NPI Number | 1700881471
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Entity Type | Individual
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Provider Name | JAMES CECIL DO
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 834 N SEMINARY ST STE 501
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City | GALESBURG
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State | IL
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Zip | 61401-2852
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Country | US
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Telephone | 309-343-2640
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Fax | 309-343-2663
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Provider Business Mailing Address
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Address Line | 834 N SEMINARY ST STE 501
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City | GALESBURG
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State | IL
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Zip | 61401-2852
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Country | US
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Telephone | 309-343-2640
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Fax | 309-343-2663
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036-085396
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | R7721
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License Number State | MO
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