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General NPI Number Information
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NPI Number | 1164698023
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Entity Type | Organization
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Legal Business Name | WILLIAM D FOORD
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 60 PLEASANT ST
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City | BERLIN
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State | NH
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Zip | 03570-1947
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Country | US
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Telephone | 603-752-2237
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Fax | 603-752-2868
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Provider Business Mailing Address
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Address Line | 60 PLEASANT ST
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City | BERLIN
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State | NH
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Zip | 03570-1947
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Country | US
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Telephone | 603-752-2237
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Fax | 603-752-2868
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM FOORD
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Credential | M.D.
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Telephone | 603-752-2237
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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 | 5307
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License Number State | NH
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