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NPI 1104821966

NPI 1104821966 : WILLIAM G CAREY MD : EVANSVILLE, IN

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General NPI Number Information
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    NPI Number           |    1104821966
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM G CAREY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/17/2005
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    Last Update Date     |    01/08/2016
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Provider Practice Location Address
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    Address Line         |    954 S KENMORE DR 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47714-7513
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    Country              |    US
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    Telephone            |    812-402-2020
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    Fax                  |    812-402-5300
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Provider Business Mailing Address
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    Address Line         |    954 S KENMORE DR 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47714-7513
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    Country              |    US
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    Telephone            |    812-402-2020
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    Fax                  |    812-402-5300
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    01036414A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    36323
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    00010857
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    License Number State |    AL
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Taxonomy #4
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    23447
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    License Number State |    CO
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