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General NPI Number Information
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NPI Number | 1265358956
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Entity Type | Individual
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Provider Name | STEPHEN AUSTIN WILLIAMS PTA
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Gender | Male
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 540 MOUNT HOLLY MEDICAL PKWY
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City | BELMONT
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State | NC
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Zip | 28012-4390
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Country | US
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Telephone | 704-218-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 233 DUTCHMANS MEADOW DR
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City | MOUNT HOLLY
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State | NC
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Zip | 28120-3005
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Country | US
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Telephone | 704-218-0014
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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 | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A8772
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License Number State | NC
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