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General NPI Number Information
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NPI Number | 1750634770
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Entity Type | Individual
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Provider Name | CRYSTAL DENISE MILLER-WILLIAMS NP
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Gender | Female
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 5012 S US HIGHWAY 75
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City | DENISON
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State | TX
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Zip | 75020-4587
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Country | US
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Telephone | 903-416-6010
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Fax | 903-416-6132
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Provider Business Mailing Address
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Address Line | 10514 WAKEMAN DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-8040
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Country | US
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Telephone | 540-993-4473
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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 | 1216742
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024170401
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License Number State | VA
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