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General NPI Number Information
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NPI Number | 1043787658
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Entity Type | Individual
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Provider Name | MRS. ELIZABETH MICHELLE WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 105 MAPLE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15218-1521
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Country | US
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Telephone | 412-723-2999
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Fax | 412-871-5906
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Provider Business Mailing Address
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Address Line | 2407 WOODSTOCK AVE
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City | PITTSBURGH
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State | PA
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Zip | 15218-2628
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Country | US
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Telephone | 412-452-6304
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Fax | 412-871-5906
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 38563601
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License Number State | PA
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