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General NPI Number Information
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NPI Number | 1407718299
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Entity Type | Individual
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Provider Name | HEIDI WILLIAMSON PRADO
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 864 PARRIS ISLAND GTWY STE C
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City | BEAUFORT
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State | SC
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Zip | 29906-6916
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Country | US
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Telephone | 843-990-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35242-5424
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Country | US
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Telephone | 423-238-7217
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 03333
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT006795
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License Number State | GA
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