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NPI 1760785406

NPI 1760785406 : JAMES ENTERPRISES, LLC : ADDISON, AL

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General NPI Number Information
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    NPI Number           |    1760785406
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMES ENTERPRISES, LLC 
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Dates
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    Enumeration Date     |    12/20/2010
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    Last Update Date     |    02/11/2011
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Provider Practice Location Address
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    Address Line         |    16356 COUNTY ROAD 41 
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    City                 |    ADDISON
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    State                |    AL
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    Zip                  |    35540
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    Country              |    US
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    Telephone            |    256-747-1186
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    Fax                  |    256-747-1196
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Provider Business Mailing Address
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    Address Line         |    PO BOX 449 
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    City                 |    ADDISON
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    State                |    AL
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    Zip                  |    35540-0449
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    Country              |    US
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    Telephone            |    256-747-1186
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    Fax                  |    256-747-1196
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Authorized Official
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    Title or Position    |    OWNER/PHYSICIAN
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    Name                 |    DR. TERRY M JAMES 
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    Credential           |    MD
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    Telephone            |    256-747-1186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    AL
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