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General NPI Number Information
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NPI Number | 1053388280
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Entity Type | Individual
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Provider Name | MORTON MADISON WILLIAMSON DDS
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9137 COURTHOUSE RD
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-1969
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Country | US
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Telephone | 540-582-6247
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Fax | 540-582-3527
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Provider Business Mailing Address
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Address Line | 9137 COURTHOUSE RD
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-1969
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Country | US
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Telephone | 540-582-6247
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Fax | 540-582-3527
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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 | 0401005362
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202004868
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License Number State | VA
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