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General NPI Number Information
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NPI Number | 1710141387
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Entity Type | Organization
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Legal Business Name | WILLIAMS ENDOCRINOLOGY INC
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 4800 W HILLSBORO BLVD A-14
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4371
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Country | US
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Telephone | 954-427-2585
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Fax | 954-427-2584
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Provider Business Mailing Address
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Address Line | PO BOX 970144
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City | COCONUT CREEK
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State | FL
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Zip | 33097-0144
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Country | US
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Telephone | 954-427-2585
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Fax | 954-427-2584
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANDRA FAYE WILLIAMS
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Credential | M.D.
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Telephone | 954-427-2585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME70140
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License Number State | FL
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