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General NPI Number Information
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NPI Number | 1730838962
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Entity Type | Individual
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Provider Name | KASHA WILLIAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 3417 NORTH NORTH 12TH AVENUE
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City | PENSACOLA
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State | FL
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Zip | 32503-4008
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Country | US
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Telephone | 850-432-7310
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 732892
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City | DALLAS
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State | TX
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Zip | 75373-2892
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11016998
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License Number State | FL
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