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General NPI Number Information
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NPI Number | 1376110775
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Entity Type | Organization
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Legal Business Name | WILLIAMS & CO LLC
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Dates
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Enumeration Date | 06/05/2021
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 6856 AXIS WEST CIR APT 3302
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City | ORLANDO
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State | FL
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Zip | 32821-6109
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Country | US
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Telephone | 702-623-7635
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Fax | 702-623-7635
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Provider Business Mailing Address
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Address Line | 6856 AXIS WEST CIR APT 3302
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City | ORLANDO
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State | FL
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Zip | 32821-6109
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Country | US
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Telephone | 702-630-5620
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Fax | 702-623-7635
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DENESE WILLIAMS
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Credential | NP-C
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Telephone | 702-630-5620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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