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General NPI Number Information
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NPI Number | 1518222009
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Entity Type | Organization
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Legal Business Name | MICHELLE MUNN WILLIAMS PC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 7252 FM 35
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City | ROYSE CTY
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State | TX
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Zip | 75189
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Country | US
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Telephone | 972-636-3937
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Fax | 972-635-9899
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Provider Business Mailing Address
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Address Line | PO BOX 845
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City | ROYSE CITY
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State | TX
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Zip | 75189-0845
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Country | US
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Telephone | 972-636-3937
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Fax | 972-635-9899
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | MICHELLE MUNN
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Credential | O.D.
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Telephone | 972-636-3937
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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 | 7221TG
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License Number State | TX
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