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General NPI Number Information
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NPI Number | 1760842835
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Entity Type | Individual
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Provider Name | JONATHAN KAHARI WILLIAMS AU.D.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1127 WILSHIRE BLVD SUITE 1620
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City | LOS ANGELES
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State | CA
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Zip | 90017
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Country | US
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Telephone | 870-336-0021
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Fax | 870-336-0022
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Provider Business Mailing Address
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Address Line | 1127 WILSHIRE BLVD SUITE 1620
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City | LOS ANGELES
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State | CA
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Zip | 90017
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Country | US
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Telephone | 213-353-7052
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Fax | 870-336-0022
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | R#15-023
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License Number State | AR
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