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General NPI Number Information
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NPI Number | 1730160045
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Entity Type | Individual
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Provider Name | JAMES T COURTNEY MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 1380 COOLIDGE HWY SUITE 250
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City | TROY
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State | MI
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Zip | 48084-7069
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Country | US
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Telephone | 248-288-1660
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Fax | 248-288-1736
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Provider Business Mailing Address
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Address Line | 1380 COOLIDGE HWY SUITE 250
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City | TROY
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State | MI
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Zip | 48084-7069
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Country | US
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Telephone | 248-288-1660
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Fax | 248-288-1736
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301046191
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License Number State | MI
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