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General NPI Number Information
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NPI Number | 1285121327
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Entity Type | Individual
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Provider Name | KRYSTAL WILLIAMS FNP
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Gender | Female
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Dates
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Enumeration Date | 04/14/2018
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 17685 TX 249
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City | HOUSTON
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State | TX
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Zip | 77064
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Country | US
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Telephone | 832-604-6115
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Fax |
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Provider Business Mailing Address
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Address Line | 28906 COPPER BREAK CT
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City | KATY
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State | TX
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Zip | 77494-3970
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Country | US
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Telephone | 281-903-0907
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 848409
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License Number State | TX
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