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General NPI Number Information
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NPI Number | 1477821742
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Entity Type | Individual
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Provider Name | LYNN SUSAN WILLIAMS RPH
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 1905 N ANDREWS AVE
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City | WILTON MANORS
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State | FL
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Zip | 33311-3914
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Country | US
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Telephone | 954-563-8407
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Fax | 954-563-8564
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Provider Business Mailing Address
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Address Line | 1905 N ANDREWS AVE
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City | WILTON MANORS
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State | FL
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Zip | 33311-3914
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Country | US
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Telephone | 954-563-8407
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Fax | 954-563-8564
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS21111
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License Number State | FL
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