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General NPI Number Information
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NPI Number | 1962561738
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Entity Type | Organization
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Legal Business Name | G. JAMES AVERY II MD, APC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2100 WEBSTER ST SUITE 200
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2373
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Country | US
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Telephone | 415-923-3150
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Fax | 415-563-2527
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Provider Business Mailing Address
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Address Line | 2100 WEBSTER ST SUITE 200
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2373
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Country | US
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Telephone | 415-923-3150
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Fax | 415-563-2527
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. G. JAMES AVERY II
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Credential | M.D.
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Telephone | 415-923-3150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | G38981
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License Number State | CA
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