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General NPI Number Information
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NPI Number | 1356623607
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Entity Type | Organization
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Legal Business Name | LESLIE B. WILLIAMS MD PLC
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 2616 SHERWOOD HALL LANE STE 407
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City | ALEXANDRIA
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State | VA
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Zip | 22306
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Country | US
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Telephone | 703-799-2113
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Fax | 703-799-2118
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Provider Business Mailing Address
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Address Line | 4660 KENMORE AVE STE 408
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City | ALEXANDRIA
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State | VA
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Zip | 22304
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Country | US
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Telephone | 703-751-3500
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Fax | 703-751-1613
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | LESLIE B. WILLIAMS
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Credential | MD
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Telephone | 703-799-2113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101038230
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License Number State | VA
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