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General NPI Number Information
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NPI Number | 1942408430
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Entity Type | Organization
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Legal Business Name | TAMI O WILLIAMS MD LLC
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 3262 LEXINGTON AVE
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-2609
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Country | US
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Telephone | 573-334-0515
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Fax | 573-334-1120
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Provider Business Mailing Address
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Address Line | PO BOX 2076
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63702-2076
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Country | US
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Telephone | 573-334-0515
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Fax | 573-334-1120
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAMI O WILLIAMS
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Credential | MD
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Telephone | 573-334-0515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2000156016
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License Number State | MO
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