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General NPI Number Information
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NPI Number | 1497973184
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Entity Type | Organization
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Legal Business Name | WILLIAM P. DUFFY, M.D., INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 1767 TRIBUTE RD SUITE H
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City | SACRAMENTO
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State | CA
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Zip | 95815-4409
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Country | US
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Telephone | 916-564-6601
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Fax | 916-564-6603
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Provider Business Mailing Address
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Address Line | 1767 TRIBUTE RD SUITE H
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City | SACRAMENTO
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State | CA
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Zip | 95815-4409
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Country | US
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Telephone | 916-564-6601
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Fax | 916-564-6603
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM P. DUFFY
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Credential | MD
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Telephone | 916-452-6601
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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 | C321550
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License Number State | CA
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