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General NPI Number Information
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NPI Number | 1841934734
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Entity Type | Individual
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Provider Name | NANCY JEAN WILLIAMS LMT
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Gender | Female
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 4200 E 8TH AVE STE 101
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City | DENVER
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State | CO
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Zip | 80220-3715
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Country | US
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Telephone | 303-355-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 S SYRACUSE WAY APT 2-204
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City | DENVER
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State | CO
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Zip | 80231-4291
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Country | US
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Telephone | 970-779-7254
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT0022556
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License Number State | CO
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