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General NPI Number Information
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NPI Number | 1194897330
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Entity Type | Organization
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Legal Business Name | AJWILLIAMSCORPORATION
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1012 OAKLAWN AVE
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City | NORFOLK
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State | VA
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Zip | 23504-3606
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Country | US
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Telephone | 757-961-3734
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Fax | 757-627-5333
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Provider Business Mailing Address
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Address Line | 1012 OAKLAWN AVE
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City | NORFOLK
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State | VA
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Zip | 23504-3606
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Country | US
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Telephone | 757-961-3734
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Fax | 757-627-5333
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Authorized Official
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Title or Position | CEO
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Name | DR. ANDERSON JAMES WILLIAMS JR.
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Credential | M.D.
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Telephone | 757-961-3734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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