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General NPI Number Information
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NPI Number | 1639353634
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Entity Type | Organization
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Legal Business Name | WILLIAM M SULEIMAN MD PC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 10 E 31ST ST 3RD FLOOR
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City | KEARNEY
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State | NE
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Zip | 68847
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Country | US
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Telephone | 308-865-7474
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Fax | 308-865-2935
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Provider Business Mailing Address
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Address Line | PO BOX 2258
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City | KEARNEY
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State | NE
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Zip | 68848-2258
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Country | US
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Telephone | 308-865-7474
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Fax | 308-865-2935
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM MARCO SULEIMAN
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Credential | MD
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Telephone | 308-865-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 18515
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License Number State | NE
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