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General NPI Number Information
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NPI Number | 1508941576
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Entity Type | Organization
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Legal Business Name | MARIE L WILLIAMS DPM PA
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 21000 NE 28TH AVE SUITE 201
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City | AVENTURA
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State | FL
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Zip | 33180-1421
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Country | US
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Telephone | 305-932-9232
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Fax | 305-932-1421
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Provider Business Mailing Address
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Address Line | 21000 NE 28TH AVE SUITE 201
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City | AVENTURA
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State | FL
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Zip | 33180-1421
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Country | US
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Telephone | 305-932-9232
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Fax | 305-932-1421
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JOANN MADIGAN
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Credential |
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Telephone | 305-932-9232
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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 |
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License Number State |
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