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General NPI Number Information
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NPI Number | 1700085735
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Entity Type | Organization
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Legal Business Name | WILLIAM P COONEY III MD PA
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 1355 37TH ST SUITE 301
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City | VERO BEACH
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State | FL
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Zip | 32960-7321
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Country | US
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Telephone | 772-978-7808
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Fax | 772-978-9320
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Provider Business Mailing Address
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Address Line | 1355 37TH ST SUITE 301
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City | VERO BEACH
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State | FL
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Zip | 32960-7321
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Country | US
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Telephone | 772-978-7808
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Fax | 772-978-9320
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Authorized Official
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Title or Position | OFFICER
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Name | DR. WILLIAM P. COONEY III
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Credential | M.D.
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Telephone | 772-978-7808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME 91212
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License Number State | FL
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