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General NPI Number Information
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NPI Number | 1306450960
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Entity Type | Organization
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Legal Business Name | WILLIAMSCONSULTANT COM LLC
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2303 N 44TH ST STE 12-1043
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City | PHOENIX
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State | AZ
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Zip | 85008-2442
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Country | US
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Telephone | 520-661-3035
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Fax |
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Provider Business Mailing Address
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Address Line | 929 N VAL VISTA DR STE 109 PMB 1113
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City | GILBERT
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State | AZ
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Zip | 85234-3701
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Country | US
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Telephone | 602-880-0133
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | TRAVIS WILLIAMS
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Credential |
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Telephone | 214-646-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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