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General NPI Number Information
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NPI Number | 1457345423
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Entity Type | Individual
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Provider Name | EDMUND P WILLIAMS IV MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 7122 STONEWALL HL
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City | SAN ANTONIO
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State | TX
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Zip | 78256-1926
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Country | US
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Telephone | 210-404-9696
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Fax | 210-404-9466
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Provider Business Mailing Address
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Address Line | 7122 STONEWALL HL
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City | SAN ANTONIO
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State | TX
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Zip | 78256-1926
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Country | US
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Telephone | 210-404-9696
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Fax | 210-404-9466
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | G3912
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G3912
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G3912
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License Number State | TX
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