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General NPI Number Information
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NPI Number | 1336321132
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Entity Type | Organization
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Legal Business Name | WILLIAM S. MCLEAN, D.O., P.C.
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 157 ADAMS DR.
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City | DEMOREST
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State | GA
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Zip | 30535
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Country | US
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Telephone | 706-754-6297
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | DEMOREST
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State | GA
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Zip | 30535-0610
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Country | US
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Telephone |
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Fax | 706-754-1012
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WILLIAM MCLEAN
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Credential |
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Telephone | 706-754-6297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 025637
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License Number State | GA
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