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General NPI Number Information
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NPI Number | 1538697172
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Entity Type | Individual
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Provider Name | SALLEY WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 926 MAIN ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3614
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Country | US
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Telephone | 661-567-8855
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Fax | 662-377-5085
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Provider Business Mailing Address
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Address Line | 926 MAIN ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3614
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Country | US
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Telephone | 888-605-9060
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Fax | 615-235-9725
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1-198856
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License Number State | AL
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