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General NPI Number Information
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NPI Number | 1225247083
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Entity Type | Individual
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Provider Name | ZACHARY THOMAS WILLIAMS D.D.S., M.C.L.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 915 SW LEMANS LN.
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City | LEES SUMMIT
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State | MO
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Zip | 64082-4619
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Country | US
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Telephone | 816-537-5665
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Fax |
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Provider Business Mailing Address
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Address Line | 915 SW LEMANS LN.
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City | LEES SUMMIT
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State | MO
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Zip | 64082
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Country | US
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Telephone | 816-419-0946
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5926330
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 2011003001
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License Number State | MO
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