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General NPI Number Information
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NPI Number | 1497396469
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Entity Type | Individual
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Provider Name | KARILIN CAMPOS WILLIAMS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1800 W WOOLBRIGHT RD STE 201
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6398
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Country | US
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Telephone | 561-737-8584
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Fax |
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Provider Business Mailing Address
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Address Line | 6421 CONGRESS AVE STE 113
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City | BOCA RATON
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State | FL
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Zip | 33487-2858
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Country | US
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Telephone | 561-939-0193
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Fax | 561-338-6271
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9112648
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License Number State | FL
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