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General NPI Number Information
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NPI Number | 1366583858
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Entity Type | Individual
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Provider Name | SHONDRA GRIFFIN WILLIAMS NP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2712 PALMISANO BLVD
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City | CHALMETTE
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State | LA
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Zip | 70043-3624
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Country | US
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Telephone | 504-278-7410
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Fax | 504-278-7324
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Provider Business Mailing Address
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Address Line | 10 VICKSBURG CT
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City | HARVEY
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State | LA
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Zip | 70058-6117
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Country | US
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Telephone | 504-512-5495
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Fax | 504-278-7324
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP03859
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License Number State | LA
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