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General NPI Number Information
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NPI Number | 1750303582
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Entity Type | Individual
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Provider Name | JAMES EDWARD THREATT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 907 BROADWATER SQ
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City | BILLINGS
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State | MT
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Zip | 59101-1634
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Country | US
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Telephone | 406-259-1155
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Fax | 406-259-1773
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Provider Business Mailing Address
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Address Line | 907 BROADWATER SQ
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City | BILLINGS
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State | MT
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Zip | 59101-1634
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Country | US
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Telephone | 406-259-1155
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Fax | 406-259-1773
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4496
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License Number State | MT
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