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General NPI Number Information
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NPI Number | 1528312592
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Entity Type | Individual
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Provider Name | JENNIFER FAITH WILLIAMS MS, ATC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 190 CAMPUS BLVD SUITE 310
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City | WINCHESTER
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State | VA
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Zip | 22601-2872
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Country | US
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Telephone | 540-667-9252
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Fax | 540-722-4514
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Provider Business Mailing Address
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Address Line | 190 CAMPUS BLVD SUITE 310
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City | WINCHESTER
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State | VA
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Zip | 22601-2872
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Country | US
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Telephone | 540-667-9252
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Fax | 540-722-4514
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0126001623
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License Number State | VA
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