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General NPI Number Information
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NPI Number | 1992107320
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Entity Type | Individual
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Provider Name | SARA MARIE WILLIAMS AUD, CCC-A
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Gender | Female
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 630 W MAIN ST STE 105
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City | WILMINGTON
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State | OH
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Zip | 45177-2171
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Country | US
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Telephone | 937-283-9888
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Fax | 937-283-2567
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Provider Business Mailing Address
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Address Line | 630 W MAIN ST
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City | WILMINGTON
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State | OH
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Zip | 45177-2170
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Country | US
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Telephone | 937-283-2565
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 11129
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A.01999
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License Number State | OH
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