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General NPI Number Information
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NPI Number | 1104457738
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Entity Type | Individual
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Provider Name | EMILIE NOELL WILLIAMS MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/02/2020
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 2339 N MONROE ST
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4733
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Country | US
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Telephone | 850-385-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 2122 BUCKHEAD AVE
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City | GRAND RIDGE
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State | FL
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Zip | 32442-3959
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Country | US
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Telephone | 260-350-4123
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9488788
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11015254
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License Number State | FL
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