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General NPI Number Information
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NPI Number | 1326172040
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Entity Type | Individual
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Provider Name | WILLIAM COURTNEY
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2600 E BIDWELL ST STE 260
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City | FOLSOM
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State | CA
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Zip | 95630-6448
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Country | US
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Telephone | 916-965-7938
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Fax |
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Provider Business Mailing Address
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Address Line | 6413 RIO BLANCO DRIVE
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City | RANCHO MURIETA
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State | CA
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Zip | 95683
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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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