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General NPI Number Information
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NPI Number | 1598803991
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Entity Type | Individual
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Provider Name | SHELLEY LYNNE WILLIAMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 8240 GEORGIA AVE 102
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City | SILVER SPRING
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State | MD
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Zip | 20910-4511
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Country | US
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Telephone | 301-589-9333
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Fax | 301-589-8917
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Provider Business Mailing Address
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Address Line | 2103 HAMPSHIRE DR
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City | ADELPHI
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State | MD
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Zip | 20783-2002
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Country | US
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Telephone | 301-439-0267
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Fax | 301-589-8917
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D44826
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License Number State | MD
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