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General NPI Number Information
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NPI Number | 1154691814
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Entity Type | Organization
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Legal Business Name | MCSWAIN WILLIAMSON PLLC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 2225 E FLAMINGO RD STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89119-5125
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Country | US
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Telephone | 702-419-7529
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Fax | 702-538-8151
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Provider Business Mailing Address
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Address Line | 2225 E FLAMINGO RD STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89119-5125
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Country | US
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Telephone | 702-419-7529
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Fax | 702-538-8151
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHARON WILLIAMSON
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Credential |
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Telephone | 248-442-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DO1502
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DW009333
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License Number State | NV
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