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General NPI Number Information
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NPI Number | 1801961149
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Entity Type | Organization
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Legal Business Name | WILLIAM C HOUSE MD PA
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1341 ORANGE AVENUE
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City | WINTER PARK
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State | FL
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Zip | 32789
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Country | US
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Telephone | 407-629-4667
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Fax | 407-629-1157
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Provider Business Mailing Address
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Address Line | 1341 ORANGE AVENUE
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City | WINTER PARK
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State | FL
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Zip | 32789
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Country | US
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Telephone | 407-629-4667
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Fax | 407-629-1157
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM COLUMBUS HOUSE
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Credential | MD
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Telephone | 407-629-4667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME34623
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License Number State | FL
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