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General NPI Number Information
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NPI Number | 1801196019
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Entity Type | Organization
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Legal Business Name | WILLIAMS AND URALDE INC.
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 6121 CLEVELAND BLVD SUITE 101
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City | CALDWELL
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State | ID
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Zip | 83607-5129
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Country | US
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Telephone | 208-459-3592
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Fax | 208-459-2698
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Provider Business Mailing Address
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Address Line | 6121 CLEVELAND BLVD SUITE 101
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City | CALDWELL
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State | ID
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Zip | 83607-5129
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Country | US
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Telephone | 208-459-3592
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Fax | 208-459-2698
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MRS. LINDA WILLIAMS
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Credential |
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Telephone | 208-459-3592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RHA-218
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License Number State | ID
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