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General NPI Number Information
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NPI Number | 1548745169
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Entity Type | Individual
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Provider Name | TARICE CHERYEL WILLIAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 100 E SYBELIA AVE STE 150
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City | MAITLAND
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State | FL
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Zip | 32751-4773
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Country | US
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Telephone | 407-765-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 481 ALAFAYA WOODS BLVD APT D
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City | OVIEDO
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State | FL
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Zip | 32765-5592
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Country | US
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Telephone | 910-471-7770
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9364919
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN9364919
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License Number State | FL
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