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General NPI Number Information
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NPI Number | 1134353048
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Entity Type | Individual
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Provider Name | WILLIAM RONALD DAVIES
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Gender | Male
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 216 LAFAYETTE ST
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City | SCHENECTADY
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State | NY
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Zip | 12305-2408
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Country | US
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Telephone | 518-243-3300
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Fax | 518-377-9151
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Provider Business Mailing Address
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Address Line | 1462 ERIE BLVD
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City | SCHENECTADY
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State | NY
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Zip | 12305-1026
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Country | US
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Telephone | 518-243-1020
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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