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General NPI Number Information
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NPI Number | 1861318222
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Entity Type | Individual
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Provider Name | JERRY LEE WILLIAMS JR.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 6325 HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2300
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Country | US
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Telephone | 901-522-7700
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Fax | 901-259-0116
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Provider Business Mailing Address
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Address Line | 2941 N STAR DR
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City | BARTLETT
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State | TN
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Zip | 38134-3733
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Country | US
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Telephone | 901-550-2189
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Fax | 901-259-0116
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 1215
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License Number State | TN
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