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General NPI Number Information
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NPI Number | 1043483787
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Entity Type | Organization
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Legal Business Name | WILLIAM J WESTERKAM
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 320 HARBISON BLVD SUITE 290
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City | COLUMBIA
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State | SC
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Zip | 29212-2225
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Country | US
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Telephone | 803-749-0181
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Fax | 803-749-3229
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Provider Business Mailing Address
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Address Line | 320 HARBISON BLVD SUITE 290
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City | COLUMBIA
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State | SC
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Zip | 29212-2225
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Country | US
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Telephone | 803-749-0181
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Fax | 803-749-3229
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. WILLIAM JOSEPH WESTERKAM
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Credential | MD
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Telephone | 803-749-0181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 6229
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License Number State | SC
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