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General NPI Number Information
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NPI Number | 1558674358
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Entity Type | Organization
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Legal Business Name | ANTHONY F. WILLIAMS, DDS, P.C.
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 19401 E. VALLEY VIEW PARKWAY
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City | INDEPENDENCE
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State | MO
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Zip | 64055-0000
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Country | US
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Telephone | 816-795-6325
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Fax | 816-795-0542
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Provider Business Mailing Address
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Address Line | 19401 E. VALLEY VIEW PARKWAY
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City | INDEPENDENCE
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State | MO
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Zip | 64055-0000
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Country | US
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Telephone | 816-795-6325
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Fax | 816-795-0542
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY WILLIAMS
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Credential | DDS
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Telephone | 816-795-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2005005665
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License Number State | MO
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