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General NPI Number Information
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NPI Number | 1043483837
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Entity Type | Individual
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Provider Name | WILLIAM ROGERS DIBRIELLE MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 2238 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3416
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Country | US
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Telephone | 415-833-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARKWAY
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City | HAVERHILL
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State | MA
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Zip | 01830-6278
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Country | US
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Telephone | 978-521-3250
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Fax | 978-469-5646
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C198733
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License Number State | CA
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