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General NPI Number Information
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NPI Number | 1134301195
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Entity Type | Organization
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Legal Business Name | WILLIAM DORN III MD LLC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 10905 FT WASHINGTON RD #402
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City | FT WASHINGTON
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State | MD
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Zip | 20744
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Country | US
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Telephone | 301-292-1180
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Fax | 301-292-9825
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Provider Business Mailing Address
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Address Line | PO BOX 1025
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City | OXON HILL
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State | MD
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Zip | 20750
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Country | US
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Telephone | 301-292-1180
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Fax | 301-292-9825
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM DORN III
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Credential | MD
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Telephone | 301-292-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | M37013
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101050048
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD25818
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License Number State | DC
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