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General NPI Number Information
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NPI Number | 1851349286
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Entity Type | Individual
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Provider Name | JAMES OVID BOOKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 1920 GALLERIA OAKS DR
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City | TEXARKANA
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State | TX
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Zip | 75503-4619
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Country | US
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Telephone | 903-792-6114
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Fax | 903-792-4266
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Provider Business Mailing Address
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Address Line | 919 HIDDEN RDG 6TH FLOOR
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City | IRVING
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State | TX
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Zip | 75038-3813
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Country | US
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Telephone | 469-282-2713
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Fax | 469-282-2609
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E22577
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E-7153
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L6296
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License Number State | TX
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