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General NPI Number Information
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NPI Number | 1710959945
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Entity Type | Individual
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Provider Name | ELAINE R. WILLIAMS D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 800 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10451-3003
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Country | US
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Telephone | 718-644-2495
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Fax | 347-329-0688
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Provider Business Mailing Address
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Address Line | 255 ALPINE RD
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City | HENRYVILLE
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State | PA
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Zip | 18332-7103
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Country | US
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Telephone | 718-644-2495
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Fax | 347-329-0688
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N005937
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License Number State | NY
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