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General NPI Number Information
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NPI Number | 1235551292
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Entity Type | Individual
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Provider Name | ANDREW MAXWELL WILLIAMS PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 8220 WALNUT HILL LN STE 810
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City | DALLAS
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State | TX
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Zip | 75231-4427
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Country | US
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Telephone | 214-373-3376
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Fax | 214-346-0371
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Provider Business Mailing Address
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Address Line | 5310 HARVEST HILL RD STE 290
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City | DALLAS
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State | TX
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Zip | 75230-5826
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Country | US
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Telephone | 214-420-0650
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA15797
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-04694
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License Number State | NC
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