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General NPI Number Information
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NPI Number | 1518570035
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Entity Type | Individual
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Provider Name | ALAN WILLIAMS DDS
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Gender | Male
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 1600 W NORTHWEST HWY STE 200
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City | GRAPEVINE
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State | TX
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Zip | 76051-8135
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Country | US
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Telephone | 817-251-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 10401 CROWNE POINTE LN
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City | FORT WORTH
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State | TX
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Zip | 76244-5088
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Country | US
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Telephone | 512-944-9558
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 36620
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License Number State | TX
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