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General NPI Number Information
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NPI Number | 1174281851
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Entity Type | Individual
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Provider Name | DARIAN WILLIAMS D.C
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Gender | Male
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 1720 PEACHTREE ST NW STE 140
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City | ATLANTA
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State | GA
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Zip | 30309-2439
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Country | US
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Telephone | 404-575-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 ROSWELL RD
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City | MARIETTA
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State | GA
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Zip | 30062-3682
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Country | US
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Telephone | 404-514-6169
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 10598
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License Number State | GA
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