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General NPI Number Information
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NPI Number | 1336790963
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Entity Type | Individual
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Provider Name | LORILEA PAIGE WILLIAMS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | APEX MEDICAL GROUP 890 WEST STETSON AVE # B
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-652-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 37346 PASEO TULIPA
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City | MURRIETA
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State | CA
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Zip | 92563-3702
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Country | US
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Telephone | 601-529-7054
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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 | 95012747
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License Number State | CA
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