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General NPI Number Information
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NPI Number | 1952487209
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Entity Type | Individual
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Provider Name | WILLIAM T DANIEL II MD
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Gender | Male
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | I TRILLIUM WAY
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City | CORBIN
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State | KY
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Zip | 40701
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Country | US
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Telephone | 606-526-8122
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Fax | 606-526-9555
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Provider Business Mailing Address
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Address Line | PO BOX 1325
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City | CORBIN
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State | KY
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Zip | 40702-1325
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Country | US
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Telephone | 606-526-8131
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Fax | 606-528-8661
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 23209
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License Number State | KY
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