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General NPI Number Information
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NPI Number | 1275541179
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Entity Type | Organization
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Legal Business Name | STANLEY J WILLIAMS MD PA
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 511 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452
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Country | US
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Telephone | 352-860-0202
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Fax | 352-860-1918
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Provider Business Mailing Address
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Address Line | PO BOX 1149
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City | INVERNESS
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State | FL
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Zip | 34451
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Country | US
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Telephone | 352-860-0202
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Fax | 352-860-1918
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Authorized Official
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Title or Position | CARDIOLOGIST
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Name | STANLEY JOHN WILLIAMS
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Credential | MD
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Telephone | 352-860-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME65864
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License Number State | FL
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