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General NPI Number Information
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NPI Number | 1487918983
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Entity Type | Individual
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Provider Name | DANA BLALOCK WILLIAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 804 CHATHAM AVE
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City | CHATHAM
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State | LA
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Zip | 71226-8917
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Country | US
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Telephone | 318-249-3200
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Fax | 318-249-3204
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Provider Business Mailing Address
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Address Line | 107 WATTS ST
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City | JONESBORO
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State | LA
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Zip | 71251-2053
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Country | US
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Telephone | 318-395-2121
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Fax | 318-395-8768
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP06865
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License Number State | LA
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