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General NPI Number Information
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NPI Number | 1720257819
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Entity Type | Organization
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Legal Business Name | WILLIAM R POWERS M.D. INC.
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 195 E BROAD ST
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City | LYONS
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State | IN
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Zip | 47443-9502
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Country | US
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Telephone | 812-659-3395
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Fax | 812-659-3432
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Provider Business Mailing Address
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Address Line | 195 E BROAD ST P.O. BOX 236
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City | LYONS
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State | IN
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Zip | 47443-9502
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Country | US
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Telephone | 812-659-3395
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Fax | 812-659-3432
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. WILLIAM R POWERS
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Credential | M.D.
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Telephone | 812-659-3395
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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 |
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License Number State |
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