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General NPI Number Information
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NPI Number | 1558627125
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Entity Type | Individual
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Provider Name | ROBERT ANDREW WILLIAMS MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2012
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 3615 NEWBURG RD
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City | LOUISVILLE
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State | KY
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Zip | 40218-3368
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Country | US
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Telephone | 502-909-0772
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Fax | 855-859-0123
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Provider Business Mailing Address
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Address Line | 222 MEDICAL CIR
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City | MOREHEAD
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State | KY
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Zip | 40351-1179
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Country | US
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Telephone | 606-783-6611
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 29179
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 48644
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License Number State | KY
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