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General NPI Number Information
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NPI Number | 1275575821
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Entity Type | Individual
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Provider Name | WILLIAM R ZIMMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 301 N 8TH ST STE 1B201
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City | SPRINGFIELD
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State | IL
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Zip | 62701-1041
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Country | US
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Telephone | 217-535-3799
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Fax | 217-525-5685
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Provider Business Mailing Address
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Address Line | PO BOX 1977
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City | SPRINGFIELD
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State | IL
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Zip | 62705-1977
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Country | US
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Telephone | 217-544-6464
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Fax | 217-757-6021
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | IL
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