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General NPI Number Information
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NPI Number | 1346334844
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Entity Type | Organization
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Legal Business Name | G. WILLIAM COURTRIGHT, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 395 REDWOOD DRIVE
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City | PASADENA
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State | CA
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Zip | 91105-1340
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Country | US
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Telephone | 323-344-8175
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Fax | 425-799-9797
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Provider Business Mailing Address
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Address Line | 395 REDWOOD DRIVE
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City | PASADENA
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State | CA
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Zip | 91105-1340
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Country | US
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Telephone | 323-344-8175
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Fax | 425-799-9797
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Authorized Official
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Title or Position | CORPORATE MEDICAL DIRECTOR
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Name | DR. G WILLIAM COURTRIGHT
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Credential | M.D.
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Telephone | 323-344-8175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G44886
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License Number State | CA
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