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General NPI Number Information
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NPI Number | 1750845343
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Entity Type | Individual
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Provider Name | JEREMIAH JEFF WILLIAMS NP
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Gender | Male
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 5826 ESPLANADE DR STE 304A
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4173
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Country | US
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Telephone | 361-221-5227
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Fax | 877-647-0202
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Provider Business Mailing Address
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Address Line | 5929 BALCONES DR STE 200
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City | AUSTIN
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State | TX
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Zip | 78731-4280
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Country | US
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Telephone | 512-550-1800
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Fax | 877-647-0202
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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 | AP140235
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License Number State | TX
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