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General NPI Number Information
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NPI Number | 1952393837
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Entity Type | Individual
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Provider Name | RONALD E JAMERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 2001 U.S. 41
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City | SCHEREVILLE
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State | IN
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Zip | 46375
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Country | US
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Telephone | 219-365-0970
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Fax | 219-365-1830
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Provider Business Mailing Address
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Address Line | 757 45TH STREET STE. 201
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 219-922-5550
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Fax | 219-922-5555
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01039372
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01039372A
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License Number State | IN
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