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General NPI Number Information
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NPI Number | 1275614265
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Entity Type | Individual
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Provider Name | KERRY L WILLIAMS OD
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 231 CROSSWICKS RD STE 1
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2602
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Country | US
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Telephone | 609-379-6014
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Fax | 609-379-6037
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Provider Business Mailing Address
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Address Line | 231 CROSSWICKS RD STE 1
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2602
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Country | US
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Telephone | 609-379-6014
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Fax | 609-379-6037
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00575402
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License Number State | NJ
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