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General NPI Number Information
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NPI Number | 1275600892
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Entity Type | Organization
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Legal Business Name | DRS WILLIAMS & VIHLEN PA
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/04/2013
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Provider Practice Location Address
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Address Line | 112 E DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-6350
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Country | US
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Telephone | 352-787-1956
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Fax | 352-365-6690
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Provider Business Mailing Address
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Address Line | 112 E DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-6350
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Country | US
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Telephone | 352-787-1956
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Fax | 352-365-6690
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMUEL W WILLIAMS
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Credential | OD
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Telephone | 352-787-1956
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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