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General NPI Number Information
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NPI Number | 1942592183
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Entity Type | Individual
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Provider Name | VICTORIA LEIGH WILLIAMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 09/29/2024
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Provider Practice Location Address
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Address Line | 6605 NANCY RIDGE DR
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City | SAN DIEGO
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State | CA
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Zip | 92121-2253
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Country | US
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Telephone | 650-240-1248
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Fax | 858-750-2984
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Provider Business Mailing Address
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Address Line | 1309 COFFEEN AVE STE 1200
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City | SHERIDAN
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State | WY
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Zip | 82801-5777
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Country | US
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Telephone |
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Fax | 832-336-3794
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD465387
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License Number State | PA
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