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General NPI Number Information
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NPI Number | 1831879782
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Entity Type | Organization
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Legal Business Name | RICHARD WILLIAMS - PHYSICIAN ASSISTANT, PLLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 3218 SAN MARCOS DR
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City | ROCKWALL
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State | TX
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Zip | 75032-6899
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Country | US
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Telephone | 214-478-3992
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Fax | 972-591-4597
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Provider Business Mailing Address
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Address Line | 3218 SAN MARCOS DR
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City | ROCKWALL
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State | TX
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Zip | 75032-6899
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Country | US
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Telephone | 214-478-3992
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Fax | 972-591-4597
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD LEE WILLIAMS
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Credential | PHYSICIAN ASSISTANT
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Telephone | 214-478-3992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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