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General NPI Number Information
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NPI Number | 1295760601
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Entity Type | Individual
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Provider Name | MARK M WILLIAMS MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 8221 N FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93720-2041
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Country | US
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Telephone | 559-222-2294
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Fax | 888-374-8684
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Provider Business Mailing Address
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Address Line | 21C ORINDA WAY # 367
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City | ORINDA
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State | CA
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Zip | 94563-2534
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Country | US
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Telephone | 850-381-1010
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Fax | 888-374-8684
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | G73670
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G73670
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License Number State | CA
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