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General NPI Number Information
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NPI Number | 1851787576
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Entity Type | Individual
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Provider Name | JOSHUA WILLIAMS M.S. ATC
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Gender | Male
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 123 MERCER STREET SUITE 201
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City | SEATTLE
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State | WA
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Zip | 98109
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Country | US
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Telephone | 253-720-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 4236 MEMORY LN W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-1125
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Country | US
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Telephone | 253-720-7422
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | A160416768
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License Number State | WA
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