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General NPI Number Information
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NPI Number | 1922927714
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Entity Type | Individual
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Provider Name | KEETRA DIONNE WILLIAMS RN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 3923 MINNESOTA AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-2662
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Country | US
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Telephone | 202-839-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 15208 LINCOLNSHIRE PL
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-8082
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Country | US
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Telephone | 301-792-7012
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN68482
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License Number State | DC
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