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General NPI Number Information
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NPI Number | 1801087010
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Entity Type | Individual
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Provider Name | JAMES C ZANDER DDS
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 2605 16TH AVE S
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City | GREAT FALLAS
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State | MT
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Zip | 59405
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Country | US
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Telephone | 406-453-7796
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Fax | 406-453-1148
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Provider Business Mailing Address
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Address Line | 2605 16TH AVE S
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City | GREAT FALLAS
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State | MT
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Zip | 59405
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Country | US
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Telephone | 406-453-7796
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Fax | 406-453-1148
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1839
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License Number State | MT
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