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General NPI Number Information
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NPI Number | 1063153880
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Entity Type | Individual
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Provider Name | MARCIA WILLIAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 345 W MADISON ST
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City | STARKE
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State | FL
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Zip | 32091-3923
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Country | US
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Telephone | 904-964-5455
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Fax | 904-964-4099
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Provider Business Mailing Address
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Address Line | 240 SE SANDIA WAY
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City | LAKE CITY
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State | FL
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Zip | 32025-3947
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Country | US
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Telephone | 352-817-0628
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11016185
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License Number State | FL
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