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General NPI Number Information
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NPI Number | 1568540417
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Entity Type | Individual
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Provider Name | ERIK JAN WILLIAMS MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 36921 COOK ST SUITE #103
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City | PALM DESERT
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State | CA
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Zip | 92211-6070
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Country | US
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Telephone | 760-568-3111
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Fax | 760-836-1151
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Provider Business Mailing Address
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Address Line | 36921 COOK ST SUITE #103
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City | PALM DESERT
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State | CA
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Zip | 92211-6070
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Country | US
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Telephone | 760-568-3111
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Fax | 760-836-1151
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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 | A23475
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License Number State | CA
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