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General NPI Number Information
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NPI Number | 1548233349
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Entity Type | Individual
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Provider Name | SYMPHOROSA M. WILLIAMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 10710 N TORREY PINES RD
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City | LA JOLLA
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State | CA
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Zip | 92037-1035
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Country | US
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Telephone | 858-554-2626
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Fax |
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Provider Business Mailing Address
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Address Line | FILE# 54433
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City | LOS ANGELES
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State | CA
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Zip | 90074-0001
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Country | US
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Telephone | 858-554-2626
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G74881
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License Number State | CA
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