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General NPI Number Information
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NPI Number | 1295834182
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Entity Type | Individual
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Provider Name | WILLIAM P MCCONARTY O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9812 FALLS RD
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City | POTOMAC
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State | MD
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Zip | 20854-3976
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Country | US
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Telephone | 301-299-6513
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Fax |
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Provider Business Mailing Address
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Address Line | 4514 ROXBURY DR
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City | BETHESDA
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State | MD
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Zip | 20814-4038
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Country | US
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Telephone | 240-418-7146
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA1689
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001285
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License Number State | VA
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