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General NPI Number Information
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NPI Number | 1295779353
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Entity Type | Individual
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Provider Name | WILLIAM LEWIS FULCHER MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 8919 HIGHWAY 119 STE 102
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City | ALABASTER
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State | AL
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Zip | 35007-5329
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Country | US
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Telephone | 205-624-3605
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Fax | 205-449-8870
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Provider Business Mailing Address
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Address Line | 8919 HIGHWAY 119 STE 102
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City | ALABASTER
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State | AL
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Zip | 35007-5329
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Country | US
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Telephone | 205-624-3605
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Fax | 205-449-8870
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 36296
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 036129102
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11090
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License Number State | AL
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