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General NPI Number Information
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NPI Number | 1720918519
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Entity Type | Individual
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Provider Name | SEAN DEVON JAMES EMT-B
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Gender | Male
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Dates
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Enumeration Date | 05/22/2026
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Last Update Date | 05/22/2026
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Provider Practice Location Address
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Address Line | 1423 N JEFFERSON AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65802-1988
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Country | US
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Telephone | 216-403-7139
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 W BENNETT ST APT G103
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7843
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Country | US
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Telephone | 216-403-7139
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | B-80354
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License Number State | MO
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