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General NPI Number Information
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NPI Number | 1790942209
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH ROBERTSON III MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 3533 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-3604
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Country | US
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Telephone | 214-645-5795
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Fax |
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Provider Business Mailing Address
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Address Line | 7305 LA VISTA DR
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City | DALLAS
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State | TX
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Zip | 75214-4229
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Country | US
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Telephone | 214-645-5795
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 237209
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License Number State | NY
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