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General NPI Number Information
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NPI Number | 1033313390
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Entity Type | Organization
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Legal Business Name | WILLIAM F MARRS
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 511 N RACE ST
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City | GLASGOW
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State | KY
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Zip | 42141-2913
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Country | US
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Telephone | 270-651-6707
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Fax | 270-651-1751
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Provider Business Mailing Address
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Address Line | 511 N RACE ST
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City | GLASGOW
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State | KY
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Zip | 42141-2913
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Country | US
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Telephone | 270-651-6707
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Fax | 270-651-1751
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM FAUNUS MARRS
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Credential | M.D.
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Telephone | 270-651-6707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17882
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License Number State | KY
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