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General NPI Number Information
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NPI Number | 1952368003
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Entity Type | Individual
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Provider Name | JAMES D EASON MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 1265 UNION AVE SUITE 184
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City | MEMPHIS
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State | TN
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Zip | 38104-3415
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Country | US
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Telephone | 901-516-7469
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Fax | 901-516-8993
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Provider Business Mailing Address
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Address Line | PO BOX 1000 DEPT # 457
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 901-516-7469
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Fax | 901-516-8993
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 20122
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License Number State | TN
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