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General NPI Number Information
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NPI Number | 1538937164
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Entity Type | Individual
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Provider Name | JODASHIA WILLIAMS LPN
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Gender | Female
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 1829 E 55TH ST
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City | CLEVELAND
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State | OH
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Zip | 44103-3601
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Country | US
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Telephone | 330-810-1660
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 E 12TH ST APT 423
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City | CLEVELAND
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State | OH
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Zip | 44114-3531
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Country | US
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Telephone | 216-394-4344
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.171418.MEDS-IV
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License Number State | OH
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