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General NPI Number Information
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NPI Number | 1265229314
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Entity Type | Individual
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Provider Name | WILLIAM-ALBERT ROBERT WILLIAMS
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Gender | Male
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 835 LOUISA ST
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City | LANSING
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State | MI
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Zip | 48911-0213
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Country | US
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Telephone | 313-497-2665
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 E ROBIN DR
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City | SAGINAW
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State | MI
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Zip | 48601-9214
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Country | US
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Telephone | 989-827-8043
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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