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General NPI Number Information
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NPI Number | 1801568381
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Entity Type | Individual
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Provider Name | JAMES KING PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2021
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Last Update Date | 10/02/2021
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Provider Practice Location Address
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Address Line | 185 TOWNSEND AVE STE C
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City | BOOTHBAY HARBOR
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State | ME
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Zip | 04538-1895
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Country | US
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Telephone | 207-315-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 23 BENNETT RD
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City | YARMOUTH
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State | ME
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Zip | 04096-6756
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Country | US
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Telephone | 802-281-0580
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PR70555
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License Number State | ME
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