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General NPI Number Information
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NPI Number | 1386361681
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Entity Type | Individual
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Provider Name | CYNTHIA ELISABETH WILLIAMS CPNP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 1814 VILLAGE OAK CT
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City | AUSTIN
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State | TX
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Zip | 78704-5171
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Country | US
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Telephone | 512-580-9204
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 CROSSWIND DR
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City | SPICEWOOD
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State | TX
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Zip | 78669-6554
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Country | US
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Telephone | 210-528-8085
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1096892
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License Number State | TX
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