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General NPI Number Information
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NPI Number | 1255658019
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Entity Type | Organization
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Legal Business Name | WILLIAM S MUIR MD LTD
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 653 N TOWN CENTER DR SUITE 210
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City | LAS VEGAS
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State | NV
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Zip | 89144-0514
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Country | US
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Telephone | 702-254-3020
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Fax | 702-255-2620
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Provider Business Mailing Address
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Address Line | 653 N TOWN CENTER DR SUITE 210
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City | LAS VEGAS
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State | NV
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Zip | 89144-0514
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Country | US
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Telephone | 702-254-3020
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Fax | 702-255-2620
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | WILLIAM SQUIRES MUIR
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Credential | MD
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Telephone | 702-254-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 11685
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License Number State | NV
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