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General NPI Number Information
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NPI Number | 1033529235
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Entity Type | Individual
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Provider Name | KIRVIA JOSEFINA WILLIAMS D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 415 MORRIS ST STE 300
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City | CHARLESTON
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State | WV
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Zip | 25301-1853
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Country | US
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Telephone | 304-388-6441
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Fax | 304-388-6445
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Provider Business Mailing Address
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Address Line | 400 ASSOCIATION DR STE 102
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City | CHARLESTON
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State | WV
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Zip | 25311-1298
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Country | US
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Telephone |
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Fax | 304-388-0019
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 14936
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License Number State | CA
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