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General NPI Number Information
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NPI Number | 1871751560
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Entity Type | Organization
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Legal Business Name | NANCY S. WILLIAMS, MD SC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 1181 N 8TH ST SUITE 1
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City | ROCHELLE
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State | IL
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Zip | 61068-2416
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Country | US
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Telephone | 815-562-8735
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Fax | 815-562-2934
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Provider Business Mailing Address
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Address Line | 1181 N 8TH ST
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City | ROCHELLE
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State | IL
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Zip | 61068-2416
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Country | US
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Telephone | 815-562-8735
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Fax | 815-562-2934
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY S WILLIAMS
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Credential | MD
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Telephone | 815-562-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36057715
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License Number State | IL
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