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General NPI Number Information
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NPI Number | 1730207432
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Entity Type | Individual
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Provider Name | WILLIAM L MEST P.A..-C
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 254 W. LANCASTER AVENUE
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City | PAOLI
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State | PA
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Zip | 19301
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Country | US
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Telephone | 610-644-7755
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Fax | 610-644-8290
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Provider Business Mailing Address
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Address Line | 175 TRAPPED ROAD
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City | TRAPPE
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State | PA
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Zip | 19426
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA001128L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0000309
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00081500
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License Number State | NJ
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