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General NPI Number Information
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NPI Number | 1639415193
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Entity Type | Individual
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Provider Name | GREGORY WALTON WILLIAMS M.S.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 19844 BLUERIDGE MOUNTAIN RD
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City | MOUNT WEATHER
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State | VA
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Zip | 20135-2006
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Country | US
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Telephone | 540-542-3986
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Fax | 540-542-3065
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Provider Business Mailing Address
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Address Line | 874 BOYDS SCHOOL RD
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City | GETTYSBURG
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State | PA
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Zip | 17325-8583
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Country | US
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Telephone | 717-334-4550
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Fax |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 090599
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | E081610702
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License Number State | VA
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