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General NPI Number Information
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NPI Number | 1881835957
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Entity Type | Individual
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Provider Name | BRYAN S WILLIAMS DPT
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Gender | Male
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 2016 3RD ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002
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Country | US
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Telephone | 703-302-0951
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Fax | 202-758-0733
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Provider Business Mailing Address
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Address Line | 2016 3RD ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002
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Country | US
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Telephone | 703-302-0951
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Fax | 202-758-0733
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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 | 870918
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License Number State | DC
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