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General NPI Number Information
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NPI Number | 1902883747
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Entity Type | Individual
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Provider Name | JAMES PATRICK TAKARA MD
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 540 THE RIALTO
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City | VENICE
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State | FL
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Zip | 34285-2900
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Country | US
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Telephone | 941-485-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 600 NOKOMIS AVE S STE 207
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City | VENICE
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State | FL
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Zip | 34285-3209
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 7574
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 23463
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | S8498
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 154824
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License Number State | FL
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