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General NPI Number Information
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NPI Number | 1356469191
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Entity Type | Organization
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Legal Business Name | ALBERT M WILLIAMS
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 1 DEERFIELD LN
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5004
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Country | US
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Telephone | 508-990-0017
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Fax | 508-997-3006
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Provider Business Mailing Address
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Address Line | 1 DEERFIELD LN
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5004
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Country | US
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Telephone | 508-990-0017
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Fax | 508-997-3006
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALBERT M WILLIAMS III
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Credential |
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Telephone | 508-990-0017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1714813
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License Number State | MA
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