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General NPI Number Information
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NPI Number | 1962521104
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Entity Type | Individual
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Provider Name | WILLIAM SCOTT KING PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 85 SOUTH ST SUITE 8
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City | WARE
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State | MA
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Zip | 01082-1667
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Country | US
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Telephone | 413-967-2179
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Fax | 413-967-2598
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Provider Business Mailing Address
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Address Line | 5 NEPONSET ST WOT 2ND FL
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City | WORCESTER
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State | MA
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Zip | 01606-2714
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Country | US
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Telephone | 508-721-1195
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Fax | 508-832-9025
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 362122
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License Number State | MA
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