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General NPI Number Information
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NPI Number | 1467189126
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Entity Type | Organization
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Legal Business Name | DCW PROVIDERS NJ PC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 160 VARICK ST FL 12
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City | NEW YORK
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State | NY
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Zip | 10013-1220
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Country | US
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Telephone | 602-806-7610
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Fax |
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Provider Business Mailing Address
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Address Line | 160 VARICK ST FL 12
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City | NEW YORK
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State | NY
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Zip | 10013-1220
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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 | PRESIDENT
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Name | CANDYCE WILLIAMS
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Credential | MD
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Telephone | 602-806-7610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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