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General NPI Number Information
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NPI Number | 1871674036
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Entity Type | Individual
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Provider Name | RICHARD JAMES M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 189 ETHAN ALLEN HIGHWAY
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City | GEORGIA
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State | VT
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Zip | 05666
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Country | US
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Telephone | 802-253-0121
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Fax |
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Provider Business Mailing Address
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Address Line | 272 THOMAS LN
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City | STOWE
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State | VT
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Zip | 05672-5060
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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 | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | 042-0010546
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License Number State | VT
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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 | 042.0010546
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License Number State | VT
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