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General NPI Number Information
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NPI Number | 1760781751
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Entity Type | Individual
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Provider Name | JAMES VESS PHD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CTR JOINT BASE LEWIS-MCCHORD
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City | TACOMA
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State | WA
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Zip | 98431-1100
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Country | US
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Telephone | 253-968-2860
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1714
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City | GIG HARBOR
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State | WA
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Zip | 98335-3714
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Country | US
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Telephone | 253-973-6037
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY9964
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License Number State | CA
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