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General NPI Number Information
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NPI Number | 1104856350
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Entity Type | Organization
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Legal Business Name | SHERRIE G. WILLIAMSON DO, PLLC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 3201 W TECUMSEH RD STE.230
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City | NORMAN
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State | OK
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Zip | 73072-1818
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Country | US
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Telephone | 405-701-1010
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Fax | 405-701-1011
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Provider Business Mailing Address
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Address Line | 3201 W TECUMSEH RD STE. 230
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City | NORMAN
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State | OK
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Zip | 73072-1818
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Country | US
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Telephone | 405-701-1010
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Fax | 405-701-1011
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. SHERRIE G. WILLIAMSON
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Credential | D.O.
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Telephone | 405-701-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2988
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 2988
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License Number State | OK
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