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General NPI Number Information
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NPI Number | 1437336757
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Entity Type | Organization
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Legal Business Name | JAMES A.WILLIAMS D.D.S.P.A..
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 619 N 1ST ST
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City | JACKSONVILLE
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State | AR
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Zip | 72076-4117
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Country | US
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Telephone | 501-982-5384
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Fax |
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Provider Business Mailing Address
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Address Line | 619 N 1ST ST
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City | JACKSONVILLE
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State | AR
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Zip | 72076-4117
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Country | US
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Telephone | 501-982-5384
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES A. WILLIAMS
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Credential | DENTIST
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Telephone | 501-982-5384
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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 | 2662
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License Number State | AR
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