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General NPI Number Information
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NPI Number | 1538318324
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Entity Type | Individual
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Provider Name | EA WILLIAMS LMT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 1834 S ASHLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60608-3697
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Country | US
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Telephone | 312-624-8396
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Fax |
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Provider Business Mailing Address
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Address Line | 700 N RANDOLPH ST
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City | GARY
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State | IN
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Zip | 46403-2257
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Country | US
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Telephone |
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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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 | 175M00000X
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Taxonomy Name | Lay Midwife
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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 | 225600000X
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Taxonomy Name | Dance Therapist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227009082
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License Number State | IL
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