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General NPI Number Information
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NPI Number | 1922809763
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Entity Type | Individual
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Provider Name | DEIRDRE BETTY WILLIAMS DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 921 OAK PARK BLVD STE 101
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City | PISMO BEACH
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State | CA
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Zip | 93449-3289
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Country | US
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Telephone | 805-473-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 730 BEAR CANYON LN
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-7134
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Country | US
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Telephone | 805-441-2567
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95036497
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95220535
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License Number State | CA
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