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General NPI Number Information
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NPI Number | 1205333788
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Entity Type | Individual
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Provider Name | AMY ELIZABETH WILLIAMS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 5651 PALMER WAY STE D
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City | CARLSBAD
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State | CA
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Zip | 92010-7244
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Country | US
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Telephone | 760-918-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 836 E GRINNELL DR
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City | BURBANK
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State | CA
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Zip | 91501-1216
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Country | US
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Telephone | 818-321-9865
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 18438
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License Number State | CA
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