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General NPI Number Information
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NPI Number | 1245745744
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Entity Type | Organization
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Legal Business Name | R. BRIAN WILLIAMS, DO, PA
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 2985 POST ROCK CT
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-7315
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Country | US
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Telephone | 727-919-0219
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Fax |
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Provider Business Mailing Address
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Address Line | 3006 SHIPWATCH DR
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City | HOLIDAY
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State | FL
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Zip | 34691-9601
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Country | US
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Telephone | 727-919-0219
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | R BRIAN WILLIAMS
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Credential | DO
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Telephone | 727-919-0219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 161936700
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License Number State | FL
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