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General NPI Number Information
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NPI Number | 1841331378
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Entity Type | Individual
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Provider Name | JAMES M PEARCE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 06/07/2010
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Provider Practice Location Address
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Address Line | 1710 LAFAYETTE RD
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-1033
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Country | US
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Telephone | 765-362-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6280 DEPARTMENT 0032
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-6280
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01029529A
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License Number State | IN
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