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General NPI Number Information
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NPI Number | 1447018759
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Entity Type | Individual
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Provider Name | MARY LESHAUN WILLIAMS LPN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 375 BEAR CREEK RD
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City | TUSCALOOSA
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State | AL
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Zip | 35405-6261
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Country | US
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Telephone | 205-878-3016
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Fax | 205-634-5860
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Provider Business Mailing Address
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Address Line | 108 ROSCOMMON RD
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City | TUSCALOOSA
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State | AL
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Zip | 35405-6126
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Country | US
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Telephone | 205-657-9272
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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