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General NPI Number Information
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NPI Number | 1972513547
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Entity Type | Organization
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Legal Business Name | JAMES ORTHODONTICS, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 106 MEDICAL DR
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City | PALESTINE
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State | TX
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Zip | 75801-4780
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Country | US
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Telephone | 903-729-6026
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MEDICAL DR
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City | PALESTINE
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State | TX
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Zip | 75801-4780
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Country | US
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Telephone | 903-729-6026
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. JEFFREY W. JAMES
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Credential | D.D.S. , M.S.
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Telephone | 903-729-6026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 19744
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9921
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License Number State | TX
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