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General NPI Number Information
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NPI Number | 1306033410
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Entity Type | Individual
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Provider Name | LYNDA K WILLIAMSON D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 910 COMPASSION CIR
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City | ANCHORAGE
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State | AK
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Zip | 99504-1645
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Country | US
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Telephone | 907-212-9200
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Fax | 907-212-9279
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Provider Business Mailing Address
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Address Line | 3154 E 29TH AVE STE D
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City | SPOKANE
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State | WA
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Zip | 99223-4852
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Country | US
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Telephone | 509-998-3555
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP00001596
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | OP00001596
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 222262
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | OP00001596
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License Number State | WA
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