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General NPI Number Information
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NPI Number | 1811939184
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Entity Type | Organization
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Legal Business Name | WILLIAM JUSTUS HEAD MD PA
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 605 E VIOLET AVE SUITE 2
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City | MCALLEN
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State | TX
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Zip | 78504-2481
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Country | US
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Telephone | 956-631-4533
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Fax | 956-631-4335
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Provider Business Mailing Address
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Address Line | 5111 N 10TH ST PMB 210
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City | MCALLEN
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State | TX
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Zip | 78504-2835
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Country | US
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Telephone | 956-631-4533
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Fax | 956-631-4335
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM JUSTUS HEAD III
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Credential | M.D.
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Telephone | 956-631-4533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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