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General NPI Number Information
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NPI Number | 1285322214
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Entity Type | Organization
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Legal Business Name | EVAN WILLIAMS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 416 HILLSDALE AVE
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City | HILLSDALE
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State | NJ
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Zip | 07642-2734
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Country | US
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Telephone | 201-334-7106
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Fax |
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Provider Business Mailing Address
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Address Line | 888 CREST PL
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City | TOWNSHIP OF WASHINGTON
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State | NJ
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Zip | 07676-4613
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Country | US
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Telephone | 201-334-7106
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EVAN T WILLIAMS
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Credential | DPT
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Telephone | 201-334-7106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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