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General NPI Number Information
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NPI Number | 1467639815
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Entity Type | Organization
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Legal Business Name | ROBIN WILLIAMS, MD, PLC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 5651 FRIST BLVD SUITE 717
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City | HERMITAGE
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State | TN
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Zip | 37076-2060
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Country | US
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Telephone | 615-316-9511
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Fax |
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Provider Business Mailing Address
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Address Line | 5651 FRIST BLVD SUITE 717
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City | HERMITAGE
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State | TN
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Zip | 37076-2060
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Country | US
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Telephone | 615-316-9511
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. ROBIN WILLIAMS
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Credential | M.D.
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Telephone | 615-316-9511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD25969
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License Number State | TN
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