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General NPI Number Information
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NPI Number | 1891861845
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Entity Type | Individual
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Provider Name | WILLIAM W ATHERTON DC
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 795 NE 127TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4826
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Country | US
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Telephone | 305-895-6408
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Fax |
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Provider Business Mailing Address
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Address Line | 795 NE 127TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4826
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Country | US
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Telephone | 305-895-6408
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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 | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | CH7981
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | X008063-1
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License Number State | NY
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