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General NPI Number Information
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NPI Number | 1013666585
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Entity Type | Organization
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Legal Business Name | WILLIAMS & TAYLOR DME SUPPLIES LLC
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 9251 E PEAKVIEW AVE
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-5307
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Country | US
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Telephone | 303-715-8853
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 E PRENTICE AVE APT 305
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2778
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL WILLIAMS S
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Credential |
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Telephone | 303-715-8853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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