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General NPI Number Information
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NPI Number | 1548393572
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Entity Type | Individual
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Provider Name | EDWARD D WILLIAMS DMD
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 7700 CRITTENDEN ST UNIT 33A
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City | PHILADELPHIA
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State | PA
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Zip | 19118
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Country | US
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Telephone | 215-242-3141
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Fax | 215-242-4212
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Provider Business Mailing Address
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Address Line | 7700 CRITTENDEN ST UNIT 33A
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City | PHILADELPHIA
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State | PA
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Zip | 19118-4421
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Country | US
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Telephone | 215-242-3141
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Fax | 215-242-4212
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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 | DS17842L
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License Number State | PA
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