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General NPI Number Information
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NPI Number | 1407819139
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Entity Type | Individual
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Provider Name | JOSEPHINE M WILLIAMS MD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 2801 N GANTENBEIN AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1623
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Country | US
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Telephone | 503-413-8407
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Fax | 503-413-6951
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Provider Business Mailing Address
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Address Line | 601 E HAMPDEN AVE SUITE # 340
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3781
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Country | US
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Telephone | 303-788-5900
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Fax | 303-788-5922
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 33149
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD187248
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License Number State | OR
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