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General NPI Number Information
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NPI Number | 1174521728
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Entity Type | Individual
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Provider Name | RONEL R. WILLIAMS D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 607 OAKLAND AVE
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City | MT LAKE PARK
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State | MD
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Zip | 21550-3734
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Country | US
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Telephone | 301-334-3160
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Fax | 301-334-3182
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Provider Business Mailing Address
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Address Line | 18505 MARYLAND HWY
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City | SWANTON
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State | MD
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Zip | 21561-1423
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Country | US
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Telephone | 301-359-3568
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1108
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 366
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License Number State | WV
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