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NPI 1821211327

NPI 1821211327 : HUBERT B. WILLIAMS, D.C. : BOGALUSA, LA

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General NPI Number Information
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    NPI Number           |    1821211327
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUBERT B. WILLIAMS, D.C. 
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Dates
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    Enumeration Date     |    04/11/2007
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    Last Update Date     |    09/25/2008
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Provider Practice Location Address
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    Address Line         |    14428 HWY 21 SOUTH 
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    City                 |    BOGALUSA
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    State                |    LA
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    Zip                  |    70427
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    Country              |    US
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    Telephone            |    985-732-2905
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    Fax                  |    985-732-2905
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Provider Business Mailing Address
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    Address Line         |    14428 HWY 21 SOUTH 
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    City                 |    BOGALUSA
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    State                |    LA
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    Zip                  |    70427
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    Country              |    US
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    Telephone            |    985-732-2905
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    Fax                  |    985-732-2905
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Authorized Official
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    Title or Position    |    OWNER APCC
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    Name                 |    DR. HUBERT B. WILLIAMS 
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    Credential           |    D.C.
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    Telephone            |    985-732-2905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    #872
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    License Number State |    LA
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