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General NPI Number Information
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NPI Number | 1699955609
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Entity Type | Organization
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Legal Business Name | WILLIAM H. OVERHOLSER, M.D., INC.
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 1 E MAIN ST SUITE 100A
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City | NEW CONCORD
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State | OH
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Zip | 43762-1214
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Country | US
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Telephone | 740-826-7621
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Fax | 740-826-1112
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Provider Business Mailing Address
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Address Line | 1 E MAIN ST SUITE 100A
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City | NEW CONCORD
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State | OH
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Zip | 43762-1214
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Country | US
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Telephone | 740-826-7621
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Fax | 740-826-1112
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM H. OVERHOLSER
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Credential | M.D.
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Telephone | 740-826-7621
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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 | 35033712
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License Number State | OH
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