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General NPI Number Information
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NPI Number | 1861790875
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Entity Type | Organization
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Legal Business Name | SPURGEON WALTER MCWILLIAMS, M.D. P.A.
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 1620 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5316
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Country | US
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Telephone | 850-878-2171
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Fax | 850-942-4450
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Provider Business Mailing Address
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Address Line | 1620 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5316
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Country | US
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Telephone | 850-878-2171
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Fax | 850-942-4450
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SPURGEON W MCWILLIAMS
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Credential | M.D.
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Telephone | 850-878-2171
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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 | ME23765
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License Number State | FL
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