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General NPI Number Information
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NPI Number | 1467404657
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Entity Type | Individual
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Provider Name | JAMES DEWEY WILLIAMS MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 171 GRANDVIEW AVE SUITE 201
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City | WATERBURY
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State | CT
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Zip | 06708-2517
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Country | US
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Telephone | 203-578-4630
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Fax | 203-579-4629
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Provider Business Mailing Address
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Address Line | 171 GRANDVIEW AVE SUITE 201
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City | WATERBURY
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State | CT
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Zip | 06708-2517
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Country | US
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Telephone | 203-578-4630
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Fax | 203-579-4629
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 200300429
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 55595
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License Number State | CT
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