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General NPI Number Information
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NPI Number | 1245262856
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Entity Type | Individual
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Provider Name | WILLIAM A MCCLAIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 1749 NE 26TH ST SUITE E
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City | WILTON MANORS
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State | FL
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Zip | 33305-1428
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Country | US
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Telephone | 954-218-0180
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Fax |
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Provider Business Mailing Address
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Address Line | 12240 NW 28TH CT
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City | SUNRISE
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State | FL
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Zip | 33323-1717
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Country | US
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Telephone | 954-218-0180
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Fax |
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD422435
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME107651
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME0107651
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License Number State | FL
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