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NPI 1992148910

NPI 1992148910 : GEORGE C JAMES MD, PA : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1992148910
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGE C JAMES MD, PA 
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Dates
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    Enumeration Date     |    04/09/2013
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    Last Update Date     |    04/09/2013
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Provider Practice Location Address
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    Address Line         |    6709 LAHONTAN DR 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76132-5461
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    Country              |    US
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    Telephone            |    682-224-9061
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 136392 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76136-0392
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. GEORGE C JAMES 
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    Credential           |    MD
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    Telephone            |    682-224-9061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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