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General NPI Number Information
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NPI Number | 1831224161
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Entity Type | Individual
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Provider Name | WILLIAM L NEWKIRK M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 57 FAIRVIEW AVE STE 2
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City | SKOWHEGAN
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State | ME
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Zip | 04976-1403
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Country | US
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Telephone | 207-474-7005
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Fax | 207-474-7013
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Provider Business Mailing Address
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Address Line | 39 BURLEIGH ST
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City | WATERVILLE
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State | ME
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Zip | 04901-7308
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Country | US
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Telephone | 207-873-7245
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 009382
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License Number State | ME
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