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General NPI Number Information
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NPI Number | 1104903210
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Entity Type | Individual
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Provider Name | JESSICA YING WILLIAMS MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 4300 DEVONSHIRE RD SUITE #1
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City | HARRISBURG
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State | PA
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Zip | 17109-1540
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Country | US
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Telephone | 717-540-8594
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Fax | 717-540-9093
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Provider Business Mailing Address
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Address Line | PO BOX 60762
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City | HARRISBURG
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State | PA
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Zip | 17106-0762
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Country | US
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Telephone | 717-540-8594
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Fax | 717-540-9093
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | PAK000014
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD064090L
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License Number State | PA
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