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General NPI Number Information
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NPI Number | 1902123375
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Entity Type | Individual
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Provider Name | JAMES EDWARD EUBANKS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 96 JONATHAN LUCAS ST STE 708
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City | CHARLESTON
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State | SC
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Zip | 29425-8900
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Country | US
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Telephone | 843-792-8105
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Fax |
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Provider Business Mailing Address
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Address Line | 1655 5TH AVE APT 604
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City | PITTSBURGH
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State | PA
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Zip | 15219-5589
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Country | US
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Telephone | 864-525-4564
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4070
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MT216324
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License Number State | PA
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