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General NPI Number Information
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NPI Number | 1912880485
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Entity Type | Individual
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Provider Name | JAN WILLIAMS DPT
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 8010 PALOMAS AVE NE STE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5201
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Country | US
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Telephone | 505-208-7551
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Fax | 505-212-3867
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Provider Business Mailing Address
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Address Line | 7849 TRAMWAY BLVD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-2529
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Country | US
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Telephone | 505-485-4176
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Fax | 505-212-0786
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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 | PT4888
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License Number State | NM
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