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General NPI Number Information
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NPI Number | 1396480299
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Entity Type | Organization
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Legal Business Name | GLORIA WILLIAMS FNP LLC
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 889 ROYAL OAK WAY
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City | ELGIN
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State | SC
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Zip | 29045-8012
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Country | US
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Telephone | 803-730-4221
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Fax | 803-767-4971
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Provider Business Mailing Address
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Address Line | 889 ROYAL OAK WAY
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City | ELGIN
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State | SC
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Zip | 29045-8012
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Country | US
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Telephone | 803-730-4221
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Fax | 803-767-4971
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Authorized Official
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Title or Position | NP
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Name | MRS. GLORIA B WILLIAMS
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Credential | NP
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Telephone | 803-730-4221
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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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