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General NPI Number Information
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NPI Number | 1194197137
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Entity Type | Organization
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Legal Business Name | WILLIAM G. COLEMAN, M.D.,P.A.
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 1300 W. ROSEDALE SUITE B
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-921-3409
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Fax | 817-870-9721
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Provider Business Mailing Address
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Address Line | 1300 W. ROSEDALE SUITE B
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-921-3409
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Fax | 817-870-9721
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM G. COLEMAN
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Credential | M.D.
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Telephone | 817-921-3409
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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 | G8055
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License Number State | TX
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