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General NPI Number Information
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NPI Number | 1184808552
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Entity Type | Organization
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Legal Business Name | WILLIAM FERMAN MD PS
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 2528 WHEATON WAY SUITE 103
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City | BREMERTON
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State | WA
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Zip | 98310
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Country | US
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Telephone | 360-373-0200
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Fax | 360-373-0425
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Provider Business Mailing Address
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Address Line | 2528 WHEATON WAY SUITE 103
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City | BREMERTON
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State | WA
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Zip | 98310-3305
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Country | US
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Telephone | 360-373-0200
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Fax | 360-373-0425
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM FERMAN
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Credential | M.D.
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Telephone | 360-373-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00026366
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License Number State | WA
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