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NPI 1134938772

NPI 1134938772 : JAMES A WILLIAMSON CPOA : SPARTANBURG, SC

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General NPI Number Information
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    NPI Number           |    1134938772
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES A WILLIAMSON CPOA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/07/2025
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    Last Update Date     |    02/19/2026
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Provider Practice Location Address
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    Address Line         |    790 N CHURCH ST 
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    City                 |    SPARTANBURG
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    State                |    SC
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    Zip                  |    29303-3047
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    Country              |    US
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    Telephone            |    864-989-1946
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    703 N FANT ST STE A 
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    City                 |    ANDERSON
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    State                |    SC
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    Zip                  |    29621-5705
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    Country              |    US
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    Telephone            |    864-622-0900
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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        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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    License Number       |    CPOA0038
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    License Number State |    MI
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