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General NPI Number Information
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NPI Number | 1962585323
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Entity Type | Individual
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Provider Name | R. JAMES FENTON CPO, LPO
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Gender | Male
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8740 N KENDALL DR SUITE 112
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City | MIAMI
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State | FL
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Zip | 33176-2212
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Country | US
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Telephone | 305-274-7557
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Fax | 305-274-1316
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Provider Business Mailing Address
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Address Line | 2875 DE SOTO BLVD
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City | CORAL GABLES
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State | FL
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Zip | 33134-6312
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Country | US
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Telephone | 305-461-5122
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Fax |
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | POR 0078
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | POR 0078
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License Number State | FL
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