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Individual
DR. JAMES WILLIAM FAULKNER III
Active
Individual
DR. JAMES WILLIAM FAULKNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01078904A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000010099158
BC/BS PROVIDER # INDIANA
IN
01
—
1615843
BC/BS PROVIDER #
—
05
—
300005511
—
IN
Enumeration date
02/01/2006
Last updated
12/20/2018
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