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General NPI Number Information
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NPI Number | 1417451311
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Entity Type | Individual
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Provider Name | SHIRLEY WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 4024 EASTRIDGE CIR
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City | POMPANO BEACH
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State | FL
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Zip | 33064-1842
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Country | US
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Telephone | 754-235-3673
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Fax |
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Provider Business Mailing Address
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Address Line | 419 NW 1ST TER APT D
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-2804
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Country | US
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Telephone |
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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