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General NPI Number Information
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NPI Number | 1548294069
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Entity Type | Individual
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Provider Name | JOHN M WILLIAMS SR. MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 1540 SOUTH 8TH STREET PO BOX 38958
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City | COLORADO SPRINGS
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State | CO
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Zip | 80937-8958
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Country | US
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Telephone | 719-578-9749
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 SOUTH 8TH STREET PO BOX 38958
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City | COLORADO SPRINGS
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State | CO
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Zip | 80937-8958
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 26446
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 26446
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 26446
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 26446
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 26446
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License Number State | CO
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