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General NPI Number Information
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NPI Number | 1942395074
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Entity Type | Organization
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Legal Business Name | WILLIAM G ANDERSON II DO PLLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 20216 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1412
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Country | US
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Telephone | 248-477-0055
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Fax | 248-477-0088
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Provider Business Mailing Address
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Address Line | P O BOX 673333
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City | DETROIT
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State | MI
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Zip | 48267
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Country | US
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Telephone | 248-477-0055
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Fax | 248-477-0088
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM G ANDERSON II
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Credential | DO
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Telephone | 248-477-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101007008
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License Number State | MI
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