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General NPI Number Information
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NPI Number | 1982887451
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Entity Type | Organization
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Legal Business Name | WILLIAMS FAMILY AND SPORTS MEDICAL
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 23366 FARMINGTON RD
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City | FARMINGTON
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State | MI
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Zip | 48336-3102
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Country | US
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Telephone | 248-476-3333
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Fax | 248-476-7123
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Provider Business Mailing Address
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Address Line | 23366 FARMINGTON RD
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City | FARMINGTON
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State | MI
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Zip | 48336-3102
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Country | US
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Telephone | 248-476-3333
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Fax | 248-476-7123
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JOSEPH LAWSON WILLIAMS
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Credential | D.O.
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Telephone | 248-476-3333
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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 | 5101 011913
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License Number State | MI
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