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General NPI Number Information
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NPI Number | 1134759038
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Entity Type | Individual
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Provider Name | ROBERT WILLIAMS
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Gender | Male
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Dates
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Enumeration Date | 01/20/2020
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 815 W BROAD ST STE 200
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City | COLUMBUS
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State | OH
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Zip | 43222-1478
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Country | US
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Telephone | 614-717-0822
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Fax | 800-685-5308
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Provider Business Mailing Address
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Address Line | 65 N GOULD RD
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City | COLUMBUS
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State | OH
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Zip | 43209-1547
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03439408
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License Number State | OH
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