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General NPI Number Information
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NPI Number | 1790715324
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Entity Type | Individual
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Provider Name | MATHEW R WILLIAMS I M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 530 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-7185
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Fax | 212-263-2042
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Provider Business Mailing Address
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Address Line | PO BOX 415662
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City | BOSTON
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State | MA
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Zip | 02241-5662
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Country | US
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Telephone | 877-648-2964
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 211283-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 211283
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License Number State | NY
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