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General NPI Number Information
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NPI Number | 1801936141
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Entity Type | Organization
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Legal Business Name | WILLIAM RISK, MD, PA
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 809 W HARWOOD RD STE 204
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City | HURST
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State | TX
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Zip | 76054-6233
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Country | US
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Telephone | 817-284-7499
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Fax | 817-284-4262
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Provider Business Mailing Address
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Address Line | 809 W HARWOOD RD STE 204
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City | HURST
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State | TX
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Zip | 76054-6233
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Country | US
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Telephone | 817-284-7499
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Fax | 817-284-4262
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM RISK
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Credential | MD
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Telephone | 817-284-7499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | C8419
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License Number State | TX
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