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General NPI Number Information
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NPI Number | 1962786921
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Entity Type | Individual
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Provider Name | EULALEE E WILLIAMS REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 228 LINDA AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2050
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Country | US
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Telephone | 914-773-7423
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Fax |
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Provider Business Mailing Address
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Address Line | 76 JUDITH LN
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City | WATERBURY
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State | CT
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Zip | 06704-1930
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Country | US
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Telephone | 203-575-1289
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 495804
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License Number State | NY
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