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General NPI Number Information
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NPI Number | 1710173638
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Entity Type | Organization
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Legal Business Name | JAMES L WILLIS DO PA
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 524 W JAMES LEE BLVD
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City | CRESTVIEW
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State | FL
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Zip | 32536-5129
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Country | US
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Telephone | 850-682-6143
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Fax | 850-682-0227
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Provider Business Mailing Address
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Address Line | 524 W JAMES LEE BLVD
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City | CRESTVIEW
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State | FL
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Zip | 32536-5129
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Country | US
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Telephone | 850-682-6143
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Fax | 850-682-0227
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES L WILLIS
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Credential | DO
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Telephone | 850-682-6143
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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 | OS8915
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License Number State | FL
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