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General NPI Number Information
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NPI Number | 1982678223
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Entity Type | Individual
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Provider Name | WILLIAM F DEEGAN III M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 1420 BEVERLY RD STE 110
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City | MC LEAN
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State | VA
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Zip | 22101-3700
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Country | US
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Telephone | 571-378-2236
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Fax | 571-378-2237
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Provider Business Mailing Address
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Address Line | 46161 WESTLAKE DR STE 300
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City | STERLING
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State | VA
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Zip | 20165-5871
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Country | US
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Telephone | 571-434-2927
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Fax | 571-434-0838
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0047789
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD21418
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | D0047789
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD21418
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 0101052712
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101052712
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License Number State | VA
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