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General NPI Number Information
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NPI Number | 1215022322
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Entity Type | Organization
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Legal Business Name | ROBERT L WILLIAMSON III DDS PA
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 104 CENTER STREET
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City | PRINCETON
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State | NC
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Zip | 27569
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Country | US
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Telephone | 919-936-2418
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Fax | 919-936-2418
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Provider Business Mailing Address
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Address Line | PO BOX 660
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City | PRINCETON
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State | NC
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Zip | 27569
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Country | US
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Telephone | 919-936-2418
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Fax | 919-936-2789
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | NANCY CAMPBELL
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Credential |
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Telephone | 919-624-7207
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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 | 7986
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2749
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8035
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7038
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License Number State | NC
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