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General NPI Number Information
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NPI Number | 1134312788
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Entity Type | Individual
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Provider Name | TERRY L WILLIAMS JR. DC
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Gender | Male
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 7700 CLAYTON RD SUITE 305
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1328
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Country | US
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Telephone | 479-200-3134
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 CLAYTON RD SUITE 305
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1328
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Country | US
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Telephone | 479-200-3134
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1717
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2304
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2008005857
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License Number State | MO
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