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General NPI Number Information
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NPI Number | 1255630059
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Entity Type | Individual
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Provider Name | CAREY MICHAEL WILLIAMS D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 18587 SIGMA RD SUITE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4205
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Country | US
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Telephone | 210-494-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 355 BEAR RIDGE DR
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City | LA VERNIA
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State | TX
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Zip | 78121-9529
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Country | US
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Telephone | 210-494-4600
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11380
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License Number State | TX
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