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General NPI Number Information
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NPI Number | 1508054123
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Entity Type | Individual
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Provider Name | KWAME A WILLIAMS DPM
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1265 BOARDMAN CANFIELD RD
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City | BOARDMAN
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State | OH
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Zip | 44512-4004
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Country | US
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Telephone | 330-758-8808
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Fax | 330-758-4288
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Provider Business Mailing Address
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Address Line | 3255 E LIVINGSTON AVE
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City | COLUMBUS
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State | OH
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Zip | 43227-1967
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Country | US
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Telephone | 614-239-9444
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Fax | 614-237-5220
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36003472
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License Number State | OH
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