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General NPI Number Information
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NPI Number | 1689992661
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Entity Type | Individual
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Provider Name | WILLIAM CALVIN FERGUSON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 3029 ALLISON BON DR
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City | HUEYTOWN
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State | AL
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Zip | 35023-2364
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Country | US
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Telephone | 205-497-4083
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone | 205-731-9701
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 31097
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.31097
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License Number State | AL
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