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General NPI Number Information
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NPI Number | 1619356052
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Entity Type | Individual
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Provider Name | CYNTHIA E WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 908 SCARBRO ROAD
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City | SCARBRO
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State | WV
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Zip | 25917
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Country | US
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Telephone | 304-469-2905
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Fax | 304-465-3180
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Provider Business Mailing Address
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Address Line | PO BOX 337
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City | SCARBRO
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State | WV
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Zip | 25917-0337
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Country | US
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Telephone | 304-469-2905
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Fax | 304-465-3180
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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 | WV63164
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 63164
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License Number State | WV
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