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General NPI Number Information
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NPI Number | 1912922568
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Entity Type | Individual
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Provider Name | WILLIAM KOFF MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 5010 RANDALL PKWY
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City | WILMINGTON
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State | NC
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Zip | 28403-2829
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Country | US
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Telephone | 910-791-5719
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Fax | 910-799-8180
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Provider Business Mailing Address
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Address Line | 5010 RANDALL PKWY
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City | WILMINGTON
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State | NC
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Zip | 28403-2829
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Country | US
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Telephone | 910-791-5719
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Fax | 910-799-8180
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 28245
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 224
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 2075
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License Number State | NC
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