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General NPI Number Information
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NPI Number | 1114178233
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Entity Type | Individual
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Provider Name | CHERIE NICHOLE WILLIAMS DPT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 11301 COMMERCE DR STE B
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City | ALLENDALE
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State | MI
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Zip | 49401-8200
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Country | US
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Telephone | 616-895-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 2719 ROYAL VISTA CT NW APT 201
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City | GRAND RAPIDS
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State | MI
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Zip | 49534-2631
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Country | US
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Telephone | 517-231-1181
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501013539
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License Number State | MI
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