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General NPI Number Information
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NPI Number | 1942246913
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Entity Type | Individual
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Provider Name | TERENCE DALE WILLIAMS PA
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 12361 W BOLA DR STE 109
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City | SURPRISE
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State | AZ
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Zip | 85378-9021
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Country | US
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Telephone | 623-227-1000
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Fax | 623-227-2000
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Provider Business Mailing Address
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Address Line | 16928 W BELL RD # S701
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City | SURPRISE
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State | AZ
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Zip | 85374-8948
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Country | US
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Telephone | 602-635-6941
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Fax | 602-635-6952
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6352
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License Number State | AZ
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