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NPI 1619915576

NPI 1619915576 : DELYNN M WILLIAMS M.D. : GREENFIELD, IN

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General NPI Number Information
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    NPI Number           |    1619915576
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    Entity Type          |    Individual 
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    Provider Name        |    DELYNN M WILLIAMS M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2006
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    Last Update Date     |    10/11/2010
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Provider Practice Location Address
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    Address Line         |    120 W MCKENZIE RD SUITE F
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    City                 |    GREENFIELD
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    State                |    IN
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    Zip                  |    46140-1072
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    Country              |    US
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    Telephone            |    317-468-6200
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    Fax                  |    317-468-6201
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Provider Business Mailing Address
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    Address Line         |    PO BOX 129 
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    City                 |    GREENFIELD
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    State                |    IN
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    Zip                  |    46140-0129
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    Country              |    US
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    Telephone            |    317-468-6270
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    Fax                  |    317-468-6268
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    01057144
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    License Number State |    IN
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