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General NPI Number Information
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NPI Number | 1922021807
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Entity Type | Organization
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Legal Business Name | DR. JAMES A. MCCLELLAN, P.C.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 420 E 3RD ST
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City | FARMVILLE
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State | VA
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Zip | 23901-1512
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Country | US
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Telephone | 434-392-6136
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Fax | 434-392-7408
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Provider Business Mailing Address
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Address Line | PO BOX 608
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City | FARMVILLE
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State | VA
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Zip | 23901-0608
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Country | US
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Telephone | 434-392-6136
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Fax | 434-392-7408
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES A MCCLELLAN
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Credential |
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Telephone | 434-392-6136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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