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General NPI Number Information
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NPI Number | 1821062381
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Entity Type | Individual
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Provider Name | JAMES THOMAS DEUEL MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 1555 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-4122
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Country | US
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Telephone | 585-723-7191
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2001
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-4501
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Country | US
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Telephone | 315-449-0513
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 216162
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License Number State | NY
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