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General NPI Number Information
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NPI Number | 1275919623
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Entity Type | Organization
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Legal Business Name | WILLIAM J. FIELDSMITH MD PA
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Dates
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Enumeration Date | 08/08/2015
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2313 RIDGE RD STE 105A
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City | ROCKWALL
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State | TX
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Zip | 75087-5141
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Country | US
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Telephone | 469-769-5688
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Fax | 469-698-8686
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Provider Business Mailing Address
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Address Line | 2313 RIDGE RD STE 105A
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City | ROCKWALL
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State | TX
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Zip | 75087-5141
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Country | US
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Telephone | 469-769-5688
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Fax | 469-698-8686
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Authorized Official
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Title or Position | CEO
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Name | DR. WILLIAM JOSEPH FIELDSMITH
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Credential | MD
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Telephone | 469-769-5688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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