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General NPI Number Information
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NPI Number | 1366409914
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Entity Type | Individual
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Provider Name | BARRY NEIL WILLIAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3000 BETHESDA PL SUITE 801 AND 802
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City | WINSTON-SALEM
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State | NC
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Zip | 27103-3331
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Country | US
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Telephone | 336-659-9141
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Fax | 336-659-1456
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Provider Business Mailing Address
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Address Line | 3407 CARVER SCHOOL RD
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City | WINSTON-SALEM
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State | NC
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Zip | 27105-4756
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Country | US
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Telephone | 336-724-1529
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 28820
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License Number State | NC
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