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General NPI Number Information
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NPI Number | 1326830043
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Entity Type | Individual
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Provider Name | LANDON JAMES WILLIAMSON DNAP
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Gender | Male
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 200 PROSSER HEALTH DR
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City | PROSSER
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State | WA
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Zip | 99350-7832
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Country | US
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Telephone | 509-786-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 2812 SUNSHINE RIDGE RD
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City | RICHLAND
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State | WA
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Zip | 99352-9301
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Country | US
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Telephone | 360-852-6640
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | AP61682957
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP61682957
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License Number State | WA
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