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General NPI Number Information
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NPI Number | 1609372853
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Entity Type | Individual
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Provider Name | WILLIAM MARSHALL AZKOUL II M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 210 JUPITER LAKES BLVD BUILDING 5000, SUITE 105
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City | JUPITER
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State | FL
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Zip | 33458
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Country | US
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Telephone | 561-748-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 210 JUPITER LAKES BLVD BLDG 5000, SUITE 105
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City | JUPITER
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State | FL
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Zip | 33458
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Country | US
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Telephone | 561-748-4445
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301509228
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License Number State | MI
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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 | 78120
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME170971
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License Number State | FL
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