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General NPI Number Information
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NPI Number | 1518012913
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Entity Type | Organization
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Legal Business Name | WILLIAM J NAMEN II DPM PA
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 9310 OLD KINGS RD S SUITE 1201
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6152
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Country | US
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Telephone | 904-636-9197
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Fax | 904-636-9282
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Provider Business Mailing Address
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Address Line | 9310 OLD KINGS RD S SUITE 1201
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6152
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Country | US
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Telephone | 904-636-9197
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Fax | 904-636-9282
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM J NAMEN II
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Credential | D.P.M., P.A.
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Telephone | 904-636-9197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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