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General NPI Number Information
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NPI Number | 1023177888
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Entity Type | Organization
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Legal Business Name | DENNIS T WILLIAMS
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 1800 W UNIVERSITY BLVD
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City | DURANT
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State | OK
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Zip | 74701-3006
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Country | US
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Telephone | 580-924-3080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1308
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City | DURANT
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State | OK
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Zip | 74702-1308
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Country | US
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Telephone | 580-916-8683
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Fax | 903-786-3191
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS TODD WILLIAMS
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Credential | M.D.
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Telephone | 580-916-8683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 24237
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License Number State | OK
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