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General NPI Number Information
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NPI Number | 1144462862
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Entity Type | Organization
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Legal Business Name | WOODY WILLIAMS VISION CENTER
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 03/26/2009
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Provider Practice Location Address
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Address Line | 3600 TOWNE BLVD SUITE B
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City | FRANKLIN
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State | OH
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Zip | 45005-5543
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Country | US
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Telephone | 513-424-5217
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Fax | 513-424-0205
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Provider Business Mailing Address
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Address Line | 3600 TOWNE BLVD SUITE B
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City | FRANKLIN
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State | OH
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Zip | 45005-5543
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Country | US
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Telephone | 513-424-5217
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Fax | 513-424-0205
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Authorized Official
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Title or Position | OWNER
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Name | MR. WOODY WILLIAMS
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Credential | LICENSED OPTICIAN
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Telephone | 513-424-5217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 2467SC
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License Number State | OH
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