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General NPI Number Information
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NPI Number | 1184973737
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Entity Type | Individual
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Provider Name | STEPHEN CALEB WILLIAMSON PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 801 MAIN STREET
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City | COLLINS
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State | MS
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Zip | 39428
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Country | US
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Telephone | 601-765-5055
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Fax | 601-765-8544
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Provider Business Mailing Address
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Address Line | PO BOX 2396
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City | COLLINS
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State | MS
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Zip | 39428-2396
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Country | US
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Telephone | 601-765-5055
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Fax | 601-765-8544
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 16642
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 010748
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License Number State | MS
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