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General NPI Number Information
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NPI Number | 1801197942
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Entity Type | Organization
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Legal Business Name | DR. HOLLY WILLIAMS DO PA
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7410 COMMERCE ST
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City | RIVERVIEW
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State | FL
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Zip | 33578-4333
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Country | US
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Telephone | 813-677-1974
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Fax | 813-677-2725
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Provider Business Mailing Address
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Address Line | 7410 COMMERCE ST
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City | RIVERVIEW
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State | FL
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Zip | 33578-4333
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Country | US
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Telephone | 813-677-1974
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Fax | 813-677-2725
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Authorized Official
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Title or Position | DOCTOR
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Name | MRS. HOLLY WILLIAMS
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Credential | D.O.
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Telephone | 813-677-9174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | FL
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