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General NPI Number Information
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NPI Number | 1972588440
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Entity Type | Individual
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Provider Name | JANICE L WILLIAMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 2 HALSTED CIR
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City | ROGERS
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State | AR
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Zip | 72756
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Country | US
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Telephone | 479-721-4414
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Fax | 216-208-1291
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Provider Business Mailing Address
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Address Line | 2 HALSTED CIR
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City | ROGERS
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State | AR
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Zip | 72756-3184
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Country | US
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Telephone | 479-721-4414
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Fax | 216-208-1291
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-10962
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20285
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License Number State | OK
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