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General NPI Number Information
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NPI Number | 1184843013
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Entity Type | Organization
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Legal Business Name | MELODY WILLIAMS, OD, PLLC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 1029 S POST RD
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City | MIDWEST CITY
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State | OK
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Zip | 73130-5601
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Country | US
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Telephone | 405-737-0713
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Fax | 405-732-2225
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Provider Business Mailing Address
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Address Line | 1029 S POST RD
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City | MIDWEST CITY
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State | OK
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Zip | 73130-5601
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Country | US
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Telephone | 405-737-0713
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Fax | 405-732-2225
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MELODY DAWN WILLIAMS
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Credential | O.D.
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Telephone | 405-737-0713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2461
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License Number State | OK
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