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General NPI Number Information
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NPI Number | 1518672716
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Entity Type | Organization
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Legal Business Name | R Y WILLIAMS MD MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 2603 H ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2819
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Country | US
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Telephone | 661-863-2620
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Fax |
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Provider Business Mailing Address
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Address Line | 5456 ALFONSO DR
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City | AGOURA HILLS
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State | CA
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Zip | 91301-4004
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Country | US
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Telephone | 404-333-3265
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RACHAEL WILLIAMS
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Credential | MD
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Telephone | 404-333-3265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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