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General NPI Number Information
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NPI Number | 1679729263
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Entity Type | Individual
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Provider Name | CAROLINE PARKER WILLIAMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 2121 PARK ST
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City | JACKSONVILLE
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State | FL
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Zip | 32204-3811
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Country | US
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Telephone | 904-387-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 PARK ST
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City | JACKSONVILLE
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State | FL
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Zip | 32204-3811
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Country | US
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Telephone | 904-387-6200
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Fax | 904-387-0261
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101246021
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 126456
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License Number State | FL
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