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General NPI Number Information
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NPI Number | 1023025608
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Entity Type | Individual
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Provider Name | JOHN STUART WILLIAMS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 272 S COLLINS RD STE 100
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City | SUNNYVALE
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State | TX
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Zip | 75182-4643
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Country | US
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Telephone | 972-216-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 GREENVILLE AVE APT 1105
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City | DALLAS
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State | TX
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Zip | 75206-7479
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Country | US
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Telephone | 210-214-0809
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20559
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7506
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License Number State | NC
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