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General NPI Number Information
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NPI Number | 1932125291
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Entity Type | Individual
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Provider Name | JAMES A GRAHAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 3101 UNIVERSITY BLVD S STE 102
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2750
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Country | US
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Telephone | 904-737-1171
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Fax | 904-721-4022
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Provider Business Mailing Address
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Address Line | PO BOX 45443
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City | SALT LAKE CITY
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State | UT
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Zip | 84145-0443
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Country | US
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Telephone | 904-202-1032
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Fax | 904-376-4107
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 057979
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 001-03
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME134780
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License Number State | FL
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