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General NPI Number Information
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NPI Number | 1093798050
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Entity Type | Individual
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Provider Name | DWIGHT C WILLIAMS CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 608 N KEY AVE
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City | LAMPASAS
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State | TX
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Zip | 76550-1106
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Country | US
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Telephone | 512-556-3682
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Fax | 254-200-4090
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Provider Business Mailing Address
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Address Line | PO BOX 938
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City | KILLEEN
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State | TX
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Zip | 76540-0938
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Country | US
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Telephone | 254-634-6999
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Fax | 254-200-4090
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 569558
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License Number State | TX
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