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General NPI Number Information
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NPI Number | 1033425822
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Entity Type | Organization
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Legal Business Name | JAMES R. WILLIAMS M.D., PLLC
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 222 HERITAGE BLVD
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City | NEWPORT
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State | TN
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Zip | 37821-4200
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Country | US
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Telephone | 423-623-0247
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Fax |
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Provider Business Mailing Address
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Address Line | 222 HERITAGE BLVD
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City | NEWPORT
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State | TN
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Zip | 37821-4200
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Country | US
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Telephone | 423-623-0247
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JAMES R. WILLIAMS
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Credential | M.D.
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Telephone | 423-623-6350
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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 | MD0000014979
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License Number State | TN
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