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General NPI Number Information
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NPI Number | 1235820606
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Entity Type | Individual
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Provider Name | DEVON ALLAN WILLIAMS
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Gender | Male
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 211 SOUTH AVE STE C
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City | PENSACOLA
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State | FL
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Zip | 32508-5116
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Country | US
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Telephone | 850-361-7426
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 NEW TOWN AVE
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City | ORLANDO
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State | FL
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Zip | 32835-8024
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Country | US
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Telephone | 412-735-6801
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1710I1003X
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Taxonomy Name | Independent Duty Medical Technicians
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License Number |
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License Number State |
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