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General NPI Number Information
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NPI Number | 1366680316
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Entity Type | Individual
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Provider Name | LEQUITA ANTOINETTE WILLIAMS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 6701 PINEMONT DR
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City | HOUSTON
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State | TX
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Zip | 77092-3132
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Country | US
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Telephone | 281-379-4373
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Fax |
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Provider Business Mailing Address
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Address Line | 3030 DUNVALE RD APT 7310
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City | HOUSTON
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State | TX
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Zip | 77063-4451
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Country | US
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Telephone | 215-681-8044
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT019500
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1188573
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License Number State | TX
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