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General NPI Number Information
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NPI Number | 1992634836
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Entity Type | Individual
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Provider Name | ROSEANNE MARIE QUENGA WILLIAMS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2026
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Last Update Date | 05/18/2026
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Provider Practice Location Address
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Address Line | 133 ROUTE 3
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City | DEDEDO
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State | GU
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Zip | 96929-6911
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Country | US
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Telephone | 671-645-5500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10991
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City | TAMUNING
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State | GU
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Zip | 96931-0991
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Country | US
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Telephone | 671-687-9523
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 100637
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License Number State | GU
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