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General NPI Number Information
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NPI Number | 1629202171
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Entity Type | Organization
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Legal Business Name | CHARLES E WILLIAMSON MD
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 2326 S CONGRESS AVE SUITE 2E
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7617
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Country | US
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Telephone | 561-674-5901
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 SOUTH CONGRESS AVENUE SUITE 2E
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City | WEST PALM BEACH
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State | FL
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Zip | 33406
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Country | US
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Telephone | 561-674-5901
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CHARLES WILLIAMSON
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Credential | MD
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Telephone | 561-694-5901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME64651
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License Number State | FL
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