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General NPI Number Information
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NPI Number | 1710142351
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Entity Type | Individual
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Provider Name | DENISE M WILLIAMS LMT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 100 2ND AVE S STE 904S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4354
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Country | US
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Telephone | 727-804-3847
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Fax |
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Provider Business Mailing Address
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Address Line | 100 2ND AVE S STE 904S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4354
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Country | US
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Telephone | 727-603-3205
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA 53587
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP4616
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License Number State | FL
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