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General NPI Number Information
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NPI Number | 1063895506
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Entity Type | Individual
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Provider Name | JAMES WILLIAMS MSW
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Gender | Male
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 4477 W PECOS RD
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City | LAVEEN
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State | AZ
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Zip | 85339
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Country | US
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Telephone | 520-610-9592
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Fax |
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Provider Business Mailing Address
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Address Line | 4577 W PECOS RD
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City | LAVEEN
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State | AZ
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Zip | 85339-9002
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Country | US
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Telephone | 520-610-9592
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL8954H
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11062
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License Number State | AZ
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