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General NPI Number Information
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NPI Number | 1538335245
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Entity Type | Organization
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Legal Business Name | THOMAS J. WILLIAMS, O.D.
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 203 N 16TH AVE
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City | DURANT
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State | OK
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Zip | 74701-3607
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Country | US
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Telephone | 580-924-2730
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Fax | 580-924-2731
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Provider Business Mailing Address
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Address Line | PO BOX 910
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City | DURANT
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State | OK
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Zip | 74702-0910
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Country | US
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Telephone | 580-924-2730
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Fax | 580-924-2731
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS J. WILLIAMS
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Credential | O.D.
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Telephone | 580-924-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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