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General NPI Number Information
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NPI Number | 1033215322
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Entity Type | Individual
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Provider Name | BRUCE WILLIAMS SR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 2109 W DIAMOND ST
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City | PHILADELPHIA
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State | PA
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Zip | 19121-1434
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Country | US
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Telephone | 215-236-1131
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Fax | 215-232-3680
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Provider Business Mailing Address
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Address Line | 2109 W DIAMOND ST
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City | PHILADELPHIA
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State | PA
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Zip | 19121-1434
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Country | US
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Telephone | 215-236-1131
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Fax | 215-232-3680
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS005361L
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License Number State | PA
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