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General NPI Number Information
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NPI Number | 1568687986
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Entity Type | Organization
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Legal Business Name | GEORGE RAYMOND WILLIAMS, M.D.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 1233 WAYNE GILMORE CIRCLE SUITE 250A
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City | OPELOUSAS
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State | LA
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Zip | 70570
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Country | US
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Telephone | 337-948-8556
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Fax | 337-948-6881
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Provider Business Mailing Address
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Address Line | 1233 WAYNE GILMORE CIRCLE SUITE 250A
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City | OPELOUSAS
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State | LA
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Zip | 70570
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Country | US
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Telephone | 337-948-8556
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Fax | 337-948-6881
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GEORGE RAYMOND WILLIAMS
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Credential | M.D.
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Telephone | 337-948-8556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 021658
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License Number State | LA
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