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NPI 1154328524

NPI 1154328524 : BRIAN H. WILLIAMS DDS : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1154328524
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN H. WILLIAMS DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/30/2005
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    Last Update Date     |    09/09/2008
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Provider Practice Location Address
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    Address Line         |    9825 E BELL RD STE 140
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-2347
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    Country              |    US
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    Telephone            |    480-889-1800
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    Fax                  |    480-889-0156
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Provider Business Mailing Address
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    Address Line         |    9825 E BELL RD STE 140
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-2347
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    Country              |    US
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    Telephone            |    480-889-1800
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    Fax                  |    480-889-0156
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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       |    AZ2419
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    License Number State |    AZ
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