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General NPI Number Information
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NPI Number | 1710100052
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Entity Type | Organization
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Legal Business Name | DRS. JAMES & KATHRYN MIZE PC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 1225 13TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-4306
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Country | US
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Telephone | 256-350-0675
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Fax | 256-350-1046
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Provider Business Mailing Address
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Address Line | 1225 13TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-4306
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Country | US
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Telephone | 256-350-0675
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Fax | 256-350-1046
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KATHRYN MIZE
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Credential | M.D.
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Telephone | 256-350-0375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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