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General NPI Number Information
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NPI Number | 1972716777
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Entity Type | Organization
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Legal Business Name | JAMES J. FAREMOUTH, M.D., P.C.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 43281 COMMONS DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1110
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Country | US
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Telephone | 586-286-0611
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Fax | 586-228-4713
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Provider Business Mailing Address
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Address Line | 43281 COMMONS DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1110
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Country | US
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Telephone | 586-286-0611
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Fax | 586-228-4713
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES JOSEPH FAREMOUTH SR.
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Credential | M.D.
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Telephone | 586-286-0611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | JF029490
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License Number State | MI
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