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General NPI Number Information
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NPI Number | 1407695794
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Entity Type | Organization
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Legal Business Name | WILLIAMS INSTITUTE OF ORTHOPEDICS, PA
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 13696 N US HIGHWAY 441
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City | LADY LAKE
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State | FL
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Zip | 32159-6814
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Country | US
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Telephone | 352-775-1221
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Fax | 352-915-9028
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Provider Business Mailing Address
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Address Line | 13696 N US HIGHWAY 441
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City | LADY LAKE
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State | FL
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Zip | 32159-6814
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Country | US
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Telephone | 352-775-1221
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Fax | 352-915-9028
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JOHN WILLIAMS JR.
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Credential | MD
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Telephone | 352-775-1221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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