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Individual
WILLIAM T PORATH
Active
Individual
WILLIAM T PORATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366767451
GROUP NPI
CA
01
—
DC26124
D.C. LICENSE
CA
01
—
ZZZ03106Z
BLUE SHIELD
CA
Enumeration date
03/31/2010
Last updated
12/01/2014
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