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General NPI Number Information
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NPI Number | 1629609292
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Entity Type | Organization
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Legal Business Name | WILLIAMSON AND ASSOCIATES, FAMILY HEALTH CARE LLC
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 72 N PLAZA BLVD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1757
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Country | US
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Telephone | 740-851-4400
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Fax | 740-851-4403
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Provider Business Mailing Address
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Address Line | 3161 WINDY RIDGE RD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-8834
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Country | US
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Telephone | 740-505-4581
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Fax |
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Authorized Official
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Title or Position | OWNER/ NP
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Name | REGINA GALE WILLIAMSON
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Credential | ARNP, FNP
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Telephone | 740-851-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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