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General NPI Number Information
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NPI Number | 1699537969
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Entity Type | Individual
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Provider Name | NICOLE WILLIAMS CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 300 W 27TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-3075
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Country | US
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Telephone | 910-671-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 VERGELAND DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-7549
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Country | US
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Telephone | 715-965-6009
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 153000
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 741019
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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