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General NPI Number Information
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NPI Number | 1295607455
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Entity Type | Individual
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Provider Name | NICHOLAS DUANE WILLIAMS LMT
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Gender | Male
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2600 EATON RAPIDS RD STE 100
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City | LANSING
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State | MI
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Zip | 48911-6354
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Country | US
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Telephone | 517-887-7599
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Fax |
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Provider Business Mailing Address
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Address Line | 8686 HOLMES HWY
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City | EATON RAPIDS
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State | MI
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Zip | 48827-9581
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Country | US
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Telephone | 917-371-0908
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.018673
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501013052
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License Number State | MI
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