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General NPI Number Information
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NPI Number | 1184037400
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Entity Type | Individual
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Provider Name | ADAM CLARK WILLIAMS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 3501 FRANKLIN RD SW
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City | ROANOKE
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State | VA
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Zip | 24014-2201
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Country | US
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Telephone | 540-342-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 ELECTRIC RD
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City | ROANOKE
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State | VA
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Zip | 24018-1621
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401414456
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License Number State | VA
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