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General NPI Number Information
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NPI Number | 1538491147
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Entity Type | Organization
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Legal Business Name | WILLIAMS REHAB AND MOBILITY, LLC
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Dates
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Enumeration Date | 02/06/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 160 KERNS AVE SUITE A
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City | GREENVILLE
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State | SC
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Zip | 29609-4372
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Country | US
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Telephone | 864-553-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 160 KERNS AVE SUITE A
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City | GREENVILLE
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State | SC
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Zip | 29609-4372
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Country | US
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Telephone | 864-553-2871
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. GARY LYNN WILLIAMS
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Credential |
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Telephone | 864-553-2871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | SC
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