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General NPI Number Information
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NPI Number | 1689633182
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Entity Type | Individual
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Provider Name | WILLIAM DAVID CORBETT D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1961 FLOYD ST SUITE C
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City | SARASOTA
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State | FL
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Zip | 34239-2931
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Country | US
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Telephone | 941-366-2627
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Fax | 941-951-2356
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Provider Business Mailing Address
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Address Line | 2662 DICK WILSON DR
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City | SARASOTA
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State | FL
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Zip | 34240-8723
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Country | US
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Telephone | 941-342-6077
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | P00000460
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License Number State | FL
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