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General NPI Number Information
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NPI Number | 1992162168
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Entity Type | Organization
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Legal Business Name | MICHAEL N. WILLIAMS,LMT
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 31 CRYSTAL ST
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City | ELMONT
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State | NY
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Zip | 11003-4215
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Country | US
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Telephone | 516-355-5267
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Fax |
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Provider Business Mailing Address
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Address Line | 31 CRYSTAL ST
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City | ELMONT
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State | NY
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Zip | 11003-4215
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Country | US
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Telephone | 516-355-5267
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Fax |
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Authorized Official
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Title or Position | LMT
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Name | MICHAEL WILLIAMS
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Credential |
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Telephone | 516-849-3904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | 008884
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License Number State | NY
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