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General NPI Number Information
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NPI Number | 1790008977
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Entity Type | Individual
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Provider Name | GERALDINE ANNETTE WILLIAMSON BSN
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Gender | Female
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 4023 US HIGHWAY 52
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City | COWARD
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State | SC
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Zip | 29530-5379
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Country | US
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Telephone | 843-389-3497
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Fax |
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Provider Business Mailing Address
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Address Line | 4023 US HIGHWAY 52
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City | COWARD
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State | SC
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Zip | 29530-5379
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Country | US
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Telephone | 843-389-3497
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 210564
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License Number State | SC
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