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General NPI Number Information
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NPI Number | 1295844488
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Entity Type | Individual
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Provider Name | JULIE JIMERSON-WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 2301 S STATE ROUTE 291
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1201
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Country | US
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Telephone | 816-373-9328
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 SW SADDLEWOOD PL
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City | LEES SUMMIT
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State | MO
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Zip | 64081-3826
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Country | US
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Telephone | 816-304-7442
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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 | 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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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