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General NPI Number Information
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NPI Number | 1720398985
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Entity Type | Organization
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Legal Business Name | JAMES W DICKEY III MD INC
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 258 A SAN JOSE ST
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City | SALINAS
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State | CA
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Zip | 93901
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Country | US
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Telephone | 831-754-2238
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Fax | 831-754-0629
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Provider Business Mailing Address
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Address Line | 258 A SAN JOSE ST
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City | SALINAS
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State | CA
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Zip | 93901
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Country | US
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Telephone | 831-754-2238
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Fax | 831-754-0629
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Authorized Official
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Title or Position | CORPORATION SECRETARY
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Name | MRS. LEILA K DICKEY
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Credential | RN
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Telephone | 831-754-2238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00G378420
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License Number State | CA
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