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General NPI Number Information
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NPI Number | 1487016978
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Entity Type | Individual
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Provider Name | STACEY WILLIAMSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 305-928-7249
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Fax | 305-630-3632
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Provider Business Mailing Address
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Address Line | 8600 SW 92ND ST STE 204B
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City | MIAMI
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State | FL
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Zip | 33156-7377
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Country | US
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Telephone | 786-385-0848
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Fax | 305-630-3632
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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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | ME156990
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License Number State | FL
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