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General NPI Number Information
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NPI Number | 1609884600
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Entity Type | Individual
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Provider Name | WILLIAM MASSEY MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 43243 SCHOENHERR RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-1957
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Country | US
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Telephone | 586-726-0044
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Fax | 586-726-0043
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Provider Business Mailing Address
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Address Line | 1800 HARRISON ST, 7TH FL
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City | OAKLAND
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State | CA
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Zip | 94612-3429
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Country | US
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Telephone | 510-625-2856
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Fax | 877-738-4262
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C175355
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | WM063765
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License Number State | MI
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