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General NPI Number Information
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NPI Number | 1255884276
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Entity Type | Individual
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Provider Name | WILLIAM MATHIOWDIS MS, ATC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 520 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4602
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Country | US
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Telephone | 828-213-0869
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Fax |
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Provider Business Mailing Address
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Address Line | 520 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4602
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Country | US
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Telephone |
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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