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General NPI Number Information
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NPI Number | 1801886445
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Entity Type | Individual
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Provider Name | WILLIAM CALVIN PORTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 712 S CASCADE ST STE 608
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City | FERGUS FALLS
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State | MN
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Zip | 56537-2913
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Country | US
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Telephone | 218-736-8000
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Fax | 218-739-6718
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Provider Business Mailing Address
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Address Line | 712 S CASCADE ST STE 608
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City | FERGUS FALLS
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State | MN
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Zip | 56537-2913
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Country | US
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Telephone | 218-736-8000
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Fax | 218-739-6718
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 5644
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 32055
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License Number State | MN
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