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General NPI Number Information
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NPI Number | 1093841454
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Entity Type | Individual
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Provider Name | GUY WILLIAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 711 MARSHALL ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-3235
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Country | US
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Telephone | 913-684-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 920 MAIN ST STE 300
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City | KANSAS CITY
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State | MO
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Zip | 64105-2008
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Country | US
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Telephone | 816-561-1025
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 04-23226
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License Number State | KS
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