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General NPI Number Information
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NPI Number | 1699151563
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Entity Type | Individual
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Provider Name | CRYSTAL SHENAY WILLIAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 13945 N US HIGHWAY 441
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City | LADY LAKE
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State | FL
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Zip | 32159-8924
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Country | US
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Telephone | 352-277-3500
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Fax | 352-277-3498
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Provider Business Mailing Address
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Address Line | 4960 SW 72ND AVE STE 405
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City | MIAMI
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State | FL
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Zip | 33155-5506
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Country | US
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Telephone | 469-458-9222
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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 | 9493141
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 196687
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11035134
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License Number State | FL
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