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General NPI Number Information
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NPI Number | 1518126945
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Entity Type | Individual
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Provider Name | WILLIAM M OLDHAM MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 593 EDDY ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-4923
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Country | US
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Telephone | 401-444-3565
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Fax | 401-444-5493
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Provider Business Mailing Address
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Address Line | DEPT 3010, PO BOX 986524
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City | BOSTON
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State | MA
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Zip | 02298-6524
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Country | US
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Telephone | 833-924-5546
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 242571
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD20598
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L-236013
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD20598
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License Number State | RI
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