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General NPI Number Information
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NPI Number | 1932996477
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Entity Type | Individual
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Provider Name | STEVEN L WILLIAMS II
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Gender | Male
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 420 E OHIO ST APT E
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-2665
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Country | US
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Telephone | 317-590-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 420 E OHIO ST APT E
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-2665
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Country | US
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Telephone | 317-590-7101
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 25-018678-1
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License Number State | IN
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