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General NPI Number Information
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NPI Number | 1548758337
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Entity Type | Individual
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Provider Name | WILLIAM K. CONAWAY MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 888 WHITE PLAINS RD STE 105&106
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City | TRUMBULL
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State | CT
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Zip | 06611-4552
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Country | US
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Telephone | 203-654-2518
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Fax | 203-799-8058
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Provider Business Mailing Address
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Address Line | 2408 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3209
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Country | US
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Telephone | 203-626-0160
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Fax | 203-294-6734
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 78821
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License Number State | CT
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