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General NPI Number Information
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NPI Number | 1285077842
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Entity Type | Individual
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Provider Name | AMANDA GARNETT WILLIAMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2013
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 3040 33RD ST
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City | METAIRIE
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State | LA
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Zip | 70001
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Country | US
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Telephone | 504-219-0800
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Fax | 504-831-2248
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Provider Business Mailing Address
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Address Line | 2800 VETERANS BLVD SUITE 340
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City | METAIRIE
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State | LA
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Zip | 70002-8502
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Country | US
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Telephone | 504-309-9367
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Fax | 504-309-9375
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | PGY.202137
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 301403
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License Number State | LA
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