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General NPI Number Information
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NPI Number | 1922527449
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Entity Type | Individual
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Provider Name | MORIAH WILLIAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 414 GRAND PARK DR STE 1
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City | PARKERSBURG
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State | WV
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Zip | 26105-4065
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Country | US
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Telephone | 304-599-8000
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Fax | 304-599-8003
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Provider Business Mailing Address
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Address Line | 1247 SUNCREST TOWN CENTRE DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-1876
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Country | US
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Telephone | 304-599-8000
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Fax | 304-599-8000
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 89550
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License Number State | WV
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