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General NPI Number Information
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NPI Number | 1518830082
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Entity Type | Individual
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Provider Name | JUSTIN DAVID WILLIAMS NRP
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Gender | Male
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1275 SADLER WAY STE 101
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City | FAIRBANKS
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State | AK
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Zip | 99701-3175
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Country | US
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Telephone | 907-374-7911
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Fax | 907-374-7744
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Provider Business Mailing Address
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Address Line | 1240 CHEVAK CT
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City | FAIRBANKS
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State | AK
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Zip | 99701-1428
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Country | US
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Telephone | 907-378-6060
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Fax |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 22508194
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License Number State | AK
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