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General NPI Number Information
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NPI Number | 1871097436
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Entity Type | Individual
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Provider Name | BRANDON JAMES WILLIAMS MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 9850 GENESEE AVE STE 900
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City | LA JOLLA
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State | CA
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Zip | 92037-1220
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Country | US
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Telephone | 588-626-7780
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Fax | 858-626-4804
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Provider Business Mailing Address
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Address Line | 4610 EL NIDO, #367
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067
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Country | US
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Telephone | 408-458-6093
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A163743
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License Number State | CA
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