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General NPI Number Information
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NPI Number | 1164497509
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Entity Type | Individual
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Provider Name | DEBBIE L WILLIAMS P.A.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 2700 E BROAD ST
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City | MANSFIELD
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State | TX
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Zip | 76063-5899
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Country | US
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Telephone | 214-947-2874
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Fax | 214-947-2884
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Provider Business Mailing Address
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Address Line | 2700 E BROAD ST
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City | MANSFIELD
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State | TX
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Zip | 76063-5899
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12233
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA2311
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA03689
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License Number State | TX
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