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General NPI Number Information
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NPI Number | 1407193329
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Entity Type | Individual
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Provider Name | ANDREW FREDERICK WILLIAMS MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 1601 E BROADWAY SUITE 100
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City | COLUMBIA
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State | MO
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Zip | 65201-8020
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Country | US
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Telephone | 573-443-8796
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Fax |
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Provider Business Mailing Address
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Address Line | 12032 BRASSIE BND 201
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City | FORT MYERS
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State | FL
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Zip | 33913-8177
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Country | US
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Telephone | 850-624-7062
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 33524
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License Number State | MO
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