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General NPI Number Information
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NPI Number | 1417395112
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Entity Type | Individual
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Provider Name | SANDRA SUE WILLIAMS RN
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Gender | Female
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 801 CHURCH ST NE SUITE 1
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City | DECATUR
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State | AL
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Zip | 35601-2472
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Country | US
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Telephone | 256-355-4461
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Fax | 256-355-4370
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Provider Business Mailing Address
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Address Line | 2868 ACTON ROAD
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2502
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Country | US
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Telephone | 205-968-8360
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Fax | 205-968-8361
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-101136
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License Number State | AL
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