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General NPI Number Information
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NPI Number | 1427196807
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Entity Type | Organization
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Legal Business Name | WILLIAM J BULKLEY M D P A
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 1000 W KINGSHIGHWAY STE # 3
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City | PARAGOULD
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State | AR
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Zip | 72450-4141
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Country | US
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Telephone | 870-240-8020
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Fax | 870-240-8028
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | PARAGOULD
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State | AR
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Zip | 72451-0579
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Country | US
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Telephone | 870-240-8020
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Fax | 870-240-8028
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Authorized Official
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Title or Position | PHYSICAN - OWNER
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Name | WILLIAM JENNISON BULKLEY
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Credential | M.D.
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Telephone | 870-240-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A417
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License Number State | AR
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Taxonomy #9
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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