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General NPI Number Information
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NPI Number | 1851592075
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Entity Type | Individual
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Provider Name | WILLIAM S CANTWELL MD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 211 4TH ST EMCARE
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 727-533-8707
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Fax | 727-507-3618
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Provider Business Mailing Address
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Address Line | 18167 US HIGHWAY 19 N SUITE 650
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City | CLEARWATER
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State | FL
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Zip | 33764-3528
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Country | US
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Telephone | 727-533-8707
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Fax | 727-507-3618
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.201136
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD.201136
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | N3533
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License Number State | TX
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