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General NPI Number Information
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NPI Number | 1447291778
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Entity Type | Individual
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Provider Name | LOLA KATHLEEN WILLIAMS CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 10290 MAIN ST
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City | OAKMAN
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State | AL
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Zip | 35579-5845
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Country | US
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Telephone | 205-622-2830
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Fax | 205-622-2673
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Provider Business Mailing Address
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Address Line | PO BOX 2400 1220 MAIN DRIVE
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City | TUSCALOOSA
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State | AL
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Zip | 35403-2400
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Country | US
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Telephone | 205-349-3250
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Fax | 205-345-3993
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1051448
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License Number State | AL
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