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General NPI Number Information
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NPI Number | 1245404177
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Entity Type | Organization
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Legal Business Name | WILLIAM BARRISH, MD
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 17015 OLD ORCHARD RD SUITE 1
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City | LEWES
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State | DE
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Zip | 19958-4849
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Country | US
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Telephone | 302-430-3205
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Fax | 302-645-8032
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Provider Business Mailing Address
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Address Line | 7 CRIPPLE CREEK RUN
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City | MILTON
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State | DE
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Zip | 19968-9731
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Country | US
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Telephone | 302-258-3952
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Fax | 302-645-8032
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Authorized Official
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Title or Position | OWNER, SOLE PROPRIETOR
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Name | DR. WILLIAM BARRISH
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Credential | MD
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Telephone | 302-258-3952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | C10005171
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License Number State | DE
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