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General NPI Number Information
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NPI Number | 1205845252
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Entity Type | Individual
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Provider Name | WILLIAM A NETTEY MD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 220 S. NORTON ST
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City | MARION
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State | IN
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Zip | 46952-3200
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Country | US
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Telephone | 765-573-6656
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Fax | 765-573-6659
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Provider Business Mailing Address
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Address Line | 220 S NORTON ST
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City | MARION
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State | IN
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Zip | 46952-3200
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Country | US
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Telephone | 765-573-6656
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Fax | 765-573-6659
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01048532
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01048532A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 01048532A
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License Number State | IN
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