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General NPI Number Information
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NPI Number | 1619328721
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Entity Type | Individual
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Provider Name | WILLIAM CHRISTMAN RATLIFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 102 E YOUNG ST
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City | LLANO
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State | TX
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Zip | 78643-1344
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Country | US
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Telephone | 325-247-4131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 102-T1
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S3052
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License Number State | TX
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