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General NPI Number Information
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NPI Number | 1861086530
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Entity Type | Individual
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Provider Name | VICTORIA WILLIAMS DPT
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Gender | Female
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 104 CHICKASAW CIR
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City | CHURCH HILL
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State | TN
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Zip | 37642-3943
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Country | US
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Telephone | 540-448-3546
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 E LAKEVIEW DR
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City | JOHNSON CITY
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State | TN
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Zip | 37601-1890
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13405
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License Number State | TN
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