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General NPI Number Information
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NPI Number | 1811982556
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Entity Type | Individual
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Provider Name | JAMES JURE MATIC MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 900 DEER TRACE RD PELL CITY
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City | PELL CITY
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State | AL
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Zip | 35125-6452
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Country | US
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Telephone | 205-814-2104
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Fax | 205-814-2145
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Provider Business Mailing Address
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Address Line | PO BOX 11407 BIRMINGHAM
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City | BIRMINGHAM
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State | AL
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Zip | 35246-1061
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Country | US
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Telephone | 205-437-6098
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Fax | 205-437-5998
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 00017681
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17681
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License Number State | AL
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