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General NPI Number Information
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NPI Number | 1760614820
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Entity Type | Organization
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Legal Business Name | JAMES C WOMACK MD PA
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 2102 PECOS ST SUITE 7
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City | SAN ANGELO
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State | TX
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Zip | 76901-3061
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Country | US
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Telephone | 325-949-4766
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Fax | 325-949-0058
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Provider Business Mailing Address
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Address Line | 2102 PECOS ST SUITE 7
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City | SAN ANGELO
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State | TX
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Zip | 76901-3061
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Country | US
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Telephone | 325-949-4766
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Fax | 325-949-0058
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES C WOMACK SR.
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Credential | MD
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Telephone | 325-949-4766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C7834
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License Number State | TX
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