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General NPI Number Information
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NPI Number | 1134693609
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Entity Type | Individual
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Provider Name | ZACHARY C WILLIAMSON DC
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Gender | Male
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 663 HIGHWAY 365
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City | MAYFLOWER
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State | AR
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Zip | 72106-9630
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Country | US
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Telephone | 501-470-9855
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Fax |
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Provider Business Mailing Address
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Address Line | 663 HIGHWAY 365
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City | MAYFLOWER
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State | AR
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Zip | 72106-9630
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Country | US
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Telephone | 501-430-9855
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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 | 16180
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License Number State | AR
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