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NPI 1942261722

NPI 1942261722 : JAMES LINCOLN MD : GENEVA, NY

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General NPI Number Information
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    NPI Number           |    1942261722
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES LINCOLN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/31/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    35 MASON ST 
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    City                 |    GENEVA
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    State                |    NY
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    Zip                  |    14456-1133
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    Country              |    US
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    Telephone            |    315-787-5399
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8000 DEPT. 044
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14267-0002
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    Country              |    US
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    Telephone            |    716-692-3302
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    Fax                  |    716-692-4342
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    141213
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    License Number State |    NY
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