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General NPI Number Information
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NPI Number | 1710121413
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Entity Type | Individual
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Provider Name | STACY LYNN HOWELL WILLIAMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 100 HOSPITAL LN SUITE 200
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City | DANVILLE
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State | IN
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Zip | 46122-1989
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Country | US
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Telephone | 317-745-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL LN STE 200
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City | DANVILLE
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State | IN
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Zip | 46122-1993
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Country | US
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Telephone | 317-837-5571
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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 | 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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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01070781A
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License Number State | IN
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