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General NPI Number Information
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NPI Number | 1679820724
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Entity Type | Individual
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Provider Name | SHARON WILLIAMS NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 2054 TILLOTSON AVE
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City | BRONX
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State | NY
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Zip | 10475-1560
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Country | US
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Telephone | 718-671-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 2054 TILLOTSON AVE
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City | BRONX
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State | NY
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Zip | 10475-1560
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Country | US
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Telephone | 718-671-2100
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 656828
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | F355385
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License Number State | NY
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