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General NPI Number Information
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NPI Number | 1942952577
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Entity Type | Individual
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Provider Name | TRINITY N WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1191 VETERANS MEMORIAL HWY SW
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City | MABLETON
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State | GA
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Zip | 30126-3107
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Country | US
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Telephone | 470-599-3820
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 OAK PARK CIR NE
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City | ATLANTA
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State | GA
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Zip | 30324-5287
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Country | US
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Telephone | 470-733-0045
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number | 061257079
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License Number State | GA
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