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General NPI Number Information
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NPI Number | 1790745164
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Entity Type | Individual
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Provider Name | JOHN T WILLIAMS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 13696 N US HIGHWAY 441
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City | LADY LAKE
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State | FL
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Zip | 32159-6814
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Country | US
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Telephone | 352-775-1221
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Fax | 352-915-9028
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Provider Business Mailing Address
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Address Line | 13696 N US HIGHWAY 441
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City | LADY LAKE
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State | FL
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Zip | 32159-6814
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Country | US
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Telephone | 352-775-1221
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD070425L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME109839
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License Number State | FL
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