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General NPI Number Information
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NPI Number | 1205107075
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Entity Type | Individual
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Provider Name | REGINA LYN WILLIAMS R.T.(R)(M)(CT)(ARRT)
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Gender | Female
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 3820 POINTE PKWY 400
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City | BEAUMONT
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State | TX
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Zip | 77706-2000
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Country | US
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Telephone | 409-767-8221
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Fax | 409-785-4200
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Provider Business Mailing Address
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Address Line | 3820 POINT PARK WAY 400
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City | BEAUMONT
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State | TX
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Zip | 77706-5025
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Country | US
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Telephone | 409-767-8221
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Fax | 409-785-4200
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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 | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number | R.T.(R)(M)(CT)(ARRT)
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License Number State | TX
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