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General NPI Number Information
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NPI Number | 1710925144
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Entity Type | Individual
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Provider Name | WILLIAM D MCINTYRE, JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 401 S FAIR OAKS AVE
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City | PASADENA
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State | CA
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Zip | 91105-2603
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Country | US
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Telephone | 626-304-4400
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Fax | 626-296-3457
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 714-443-4512
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G29828
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License Number State | CA
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