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General NPI Number Information
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NPI Number | 1912132689
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Entity Type | Organization
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Legal Business Name | EVERARD H. WILLIAMS, M.D., INC.
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Dates
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Enumeration Date | 05/23/2009
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Last Update Date | 05/23/2009
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Provider Practice Location Address
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Address Line | 65 N MADISON AVE SUITE 201
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City | PASADENA
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State | CA
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Zip | 91101-2035
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Country | US
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Telephone | 626-577-7792
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Fax | 626-577-1060
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Provider Business Mailing Address
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Address Line | 65 N MADISON AVE SUITE 201
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City | PASADENA
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State | CA
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Zip | 91101-2035
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Country | US
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Telephone | 626-577-7792
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Fax | 626-577-1060
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Authorized Official
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Title or Position | OWNER/PRES.
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Name | DR. EVERARD HORTON WILLIAMS SR.
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Credential | M.D.
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Telephone | 626-577-7792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | G16567
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License Number State | CA
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