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General NPI Number Information
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NPI Number | 1386912640
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Entity Type | Individual
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Provider Name | PAMELA A WILLIAMS LMT, LE, RM
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 405 W MONROE ST
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City | DUNDEE
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State | MI
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Zip | 48131-1240
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Country | US
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Telephone | 734-529-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 238 SIDNEY ST
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City | DUNDEE
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State | MI
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Zip | 48131-1267
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Country | US
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Telephone | 734-529-5695
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501001085
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License Number State | MI
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