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General NPI Number Information
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NPI Number | 1831113687
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Entity Type | Individual
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Provider Name | JAMES D. MASSEY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 2 W 42ND ST SUITE 1100
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4669
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Country | US
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Telephone | 308-635-3155
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Fax | 308-635-2966
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Provider Business Mailing Address
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Address Line | 230975 CR J
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361
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Country | US
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Telephone | 308-635-3155
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 16433
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License Number State | NE
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