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Individual
DR. JAMES DAVID DACUS
Active
Individual
DR. JAMES DAVID DACUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C39808
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C398080
—
CA
01
—
110047071
RAILROAD MEDICARE CCC
CA
01
—
110202602
RAILROAD MEDICARE SVMH READING
CA
01
—
C00039808
BLUE CROSS
CA
01
—
C039808
BLUE SHIELD
CA
Enumeration date
07/07/2005
Last updated
07/15/2009
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