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General NPI Number Information
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NPI Number | 1053508176
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Entity Type | Organization
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Legal Business Name | GREGORY G WILLIAMS MD INC A MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 1500 HAGGIN OAKS BLVD 202
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City | BAKERSFIELD
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State | CA
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Zip | 93311-1333
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Country | US
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Telephone | 661-654-8346
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Fax | 661-654-8337
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Provider Business Mailing Address
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Address Line | 1500 HAGGIN OAKS BLVD 202
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City | BAKERSFIELD
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State | CA
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Zip | 93311-1333
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Country | US
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Telephone | 661-654-8346
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Fax | 661-654-8337
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY GRANT WILLIAMS
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Credential | MD
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Telephone | 661-654-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | G73172
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License Number State | CA
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