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General NPI Number Information
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NPI Number | 1841485752
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Entity Type | Organization
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Legal Business Name | WINIFRED WILLIAMS MD INC, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 1141 W REDONDO BEACH BLVD SUITE 302
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City | GARDENA
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State | CA
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Zip | 90247-3583
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Country | US
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Telephone | 310-329-4300
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Fax | 310-329-4309
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Provider Business Mailing Address
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Address Line | 1141 W REDONDO BEACH BLVD SUITE 302
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City | GARDENA
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State | CA
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Zip | 90247-3583
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Country | US
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Telephone | 310-329-4300
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Fax | 310-329-4309
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MRS. WINIFRED WILLIAMS
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Credential | M.D.
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Telephone | 310-329-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A70389
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A70389
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License Number State | CA
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