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General NPI Number Information
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NPI Number | 1134450786
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Entity Type | Organization
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Legal Business Name | WILLIAM F. BRUTHER, M.D., PC
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 2003 MEDICAL PKWY SUITE G-90
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7992
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Country | US
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Telephone | 410-573-5177
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Fax | 410-571-8624
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Provider Business Mailing Address
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Address Line | 2003 MEDICAL PKWY SUITE G-90
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7992
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Country | US
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Telephone | 410-573-5177
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Fax | 410-571-8624
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM F BRUTHER
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Credential | M.D.
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Telephone | 410-573-5177
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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 |
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License Number State |
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