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General NPI Number Information
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NPI Number | 1790761724
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Entity Type | Individual
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Provider Name | WILLIAM P COONEY III MD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 245 HOLLY RD
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City | VERO BEACH
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State | FL
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Zip | 32963-1454
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Country | US
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Telephone | 507-254-9808
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Fax |
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Provider Business Mailing Address
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Address Line | 245 HOLLY RD
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City | VERO BEACH
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State | FL
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Zip | 32963-1454
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME91212
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License Number State | FL
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