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General NPI Number Information
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NPI Number | 1912100686
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Entity Type | Individual
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Provider Name | CARL FREDERICK WILLIAMS RCIS
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7350 S TAMIAMI TRL # 2 PMB 239
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City | SARASOTA
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State | FL
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Zip | 34231-7004
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Country | US
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Telephone | 941-780-3623
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Fax |
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Provider Business Mailing Address
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Address Line | 7350 SOUTH TAMIAMI TRAIL #2 PMB 239
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City | SARASOTA
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State | FL
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Zip | 34231
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Country | US
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Telephone | 941-780-3623
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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 | 246XC2901X
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Taxonomy Name | Cardiovascular Invasive Specialist/Technologist
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License Number |
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License Number State |
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