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General NPI Number Information
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NPI Number | 1023002656
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Entity Type | Organization
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Legal Business Name | XAVIER WILLIAMS CORPORATION
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 318 E 4TH ST
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City | EMPORIUM
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State | PA
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Zip | 15834-1514
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Country | US
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Telephone | 814-486-1191
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Fax | 814-486-1195
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Provider Business Mailing Address
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Address Line | PO BOX 112
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City | ST MARYS
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State | PA
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Zip | 15857-0112
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Country | US
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Telephone | 814-781-3192
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Fax | 814-781-3192
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCIS XAVIER STRAUB III
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Credential | R PH
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Telephone | 814-781-3192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP410821L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | PA
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