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General NPI Number Information
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NPI Number | 1023329257
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Entity Type | Organization
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Legal Business Name | WILLIAM W. KIRBY, M.D.
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 3257 PROFESSIONAL DR SUITE D
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City | AUBURN
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State | CA
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Zip | 95602-2460
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Country | US
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Telephone | 530-823-6500
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Fax | 530-823-8568
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Provider Business Mailing Address
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Address Line | 3257 PROFESSIONAL DR SUITE D
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City | AUBURN
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State | CA
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Zip | 95602-2460
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Country | US
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Telephone | 530-823-6500
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Fax | 530-823-8568
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM W KIRBY
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Credential | MD
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Telephone | 530-823-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G334720
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License Number State | CA
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