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General NPI Number Information
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NPI Number | 1780929380
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Entity Type | Organization
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Legal Business Name | JAMES E. TOOLEY JR., D.O. , P.C.
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Dates
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Enumeration Date | 12/07/2012
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 2370 N WYATT DR SUITE#100
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City | TUCSON
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State | AZ
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Zip | 85712-2119
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Country | US
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Telephone | 520-325-3033
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Fax | 520-325-0093
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Provider Business Mailing Address
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Address Line | 2370 N WYATT DR SUITE#100
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City | TUCSON
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State | AZ
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Zip | 85712-2119
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Country | US
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Telephone | 520-325-3033
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Fax | 520-325-0093
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JAMES E TOOLEY JR.
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Credential | DO, PC
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Telephone | 520-325-3033
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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 | 2371
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License Number State | AZ
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