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1679698757 NPI number — ANGELA MARIE BAUER WILLIAMS D.D.S.

NPI Number: 1679698757
Health Care Provider/Practitioner: ANGELA MARIE BAUER WILLIAMS D.D.S.

Information about “1679698757” NPI (ANGELA MARIE BAUER WILLIAMS D.D.S.) exists in 1679698757 in HTML format HTML  |  1679698757 in plain Text format TXT  |  1679698757 in PDF (Portable Document Format) PDF  |  1679698757 in an XML format XML  formats.

NPI Number : 1679698757 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679698757",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAUER WILLIAMS",
    "FirstName": "ANGELA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAUER",
    "OtherFirstName": "ANGELA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "D.D.S.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "710 KATIE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAMBRIDGE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53523-9308",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-423-3615",
    "MailingAddressFaxNumber": "608-423-4275",
    "FirstLinePracticeLocationAddress": "710 KATIE CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMBRIDGE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53523-9308",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-423-3615",
    "PracticeLocationAddressFaxNumber": "608-423-4275",
    "EnumerationDate": "03/20/2007",
    "LastUpdateDate": "04/29/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "5402-015",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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