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General NPI Number Information
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NPI Number | 1235200866
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Entity Type | Individual
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Provider Name | AMY J WILLIAMS M.P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 416 HOOPER ST SE
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City | ATLANTA
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State | GA
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Zip | 30317-3417
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Country | US
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Telephone | 404-428-8071
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Fax | 678-623-0214
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Provider Business Mailing Address
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Address Line | PO BOX 17805
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City | ATLANTA
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State | GA
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Zip | 30316-0805
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Country | US
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Telephone | 404-428-8071
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Fax | 678-623-0214
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 006817
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License Number State | GA
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