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General NPI Number Information
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NPI Number | 1194876060
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Entity Type | Organization
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Legal Business Name | CRYSTAL S. WILLIAMS
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 19333 HIGHWAY 59 N STE 180
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City | HUMBLE
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State | TX
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Zip | 77338-4225
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Country | US
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Telephone | 281-446-5047
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Fax | 281-446-4874
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Provider Business Mailing Address
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Address Line | 19333 HWY 59N. SUITE180
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City | HUMBLE
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State | TX
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Zip | 77338
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Country | US
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Telephone | 281-446-5074
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Fax | 281-446-4874
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CRYSTAL SABRINA WILLIAMS
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Credential |
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Telephone | 281-446-5074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0092815
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License Number State | TX
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