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General NPI Number Information
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NPI Number | 1447664545
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Entity Type | Individual
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Provider Name | ANDREA RENEE WILLIAMS DO
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 900 HOSPITAL DR
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City | MADISONVILLE
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State | KY
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Zip | 42431-1644
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Country | US
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Telephone | 270-825-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 5374 ROB ROY RD
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City | CROMWELL
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State | KY
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Zip | 42333-9738
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Country | US
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Telephone | 270-256-1811
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.012921
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 04266
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License Number State | KY
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