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General NPI Number Information
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NPI Number | 1891797585
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Entity Type | Individual
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Provider Name | JAMES BERNARD MCALLISTER DMD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6000 W HIGHWAY 98
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City | PENSACOLA
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State | FL
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Zip | 32512-0001
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Country | US
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Telephone | 850-505-6454
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Fax |
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Provider Business Mailing Address
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Address Line | 3135 CREEKWOOD DR
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City | CANTONMENT
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State | FL
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Zip | 32533-7514
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Country | US
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Telephone | 850-494-0144
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D 3792
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License Number State | AZ
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