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General NPI Number Information
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NPI Number | 1346247137
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Entity Type | Individual
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Provider Name | TED A WILLIAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 364 HONEYSUCKLE RD
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City | DOTHAN
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State | AL
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Zip | 36305-1140
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Country | US
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Telephone | 334-794-8656
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Fax | 334-702-7047
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Provider Business Mailing Address
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Address Line | 364 HONEYSUCKLE RD
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City | DOTHAN
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State | AL
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Zip | 36305-1140
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Country | US
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Telephone | 334-794-8656
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Fax | 334-702-7047
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 00007243
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License Number State | AL
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