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General NPI Number Information
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NPI Number | 1134293491
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Entity Type | Organization
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Legal Business Name | STEPHEN A WILLIAMS, M.D., INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 714 W MLK JR BLVD
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City | TAMPA
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State | FL
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Zip | 33603
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Country | US
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Telephone | 813-223-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 714 W MLK BLVD STE A
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City | TAMPA
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State | FL
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Zip | 33603-3104
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Country | US
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Telephone | 813-223-6222
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Fax | 813-223-6020
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STEPHEN A WILLIAMS
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Credential | MD
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Telephone | 813-223-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | FLME0070792
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License Number State | FL
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