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General NPI Number Information
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NPI Number | 1467745299
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Entity Type | Individual
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Provider Name | DANIEL MARK WILLIAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 1505 E BRADFORD PKWY
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6566
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Country | US
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Telephone | 417-322-6622
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Fax | 417-350-1935
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Provider Business Mailing Address
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Address Line | 3600 S NATIONAL AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7311
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Country | US
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Telephone | 417-322-6622
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Fax | 417-350-1935
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | BP20040558
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P8566
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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 | E-16820
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2023006787
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License Number State | MO
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