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General NPI Number Information
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NPI Number | 1568575959
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Entity Type | Organization
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Legal Business Name | ANDREW S WILLIAMS M D
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 45 CASTRO ST STE 318
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1019
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Country | US
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Telephone | 415-431-9555
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Fax | 415-431-9251
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Provider Business Mailing Address
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Address Line | 45 CASTRO ST STE 318
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1019
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Country | US
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Telephone | 415-431-9555
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Fax | 415-431-9251
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. ANDREW SYDNEY WILLIAMS
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Credential | M.D.
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Telephone | 415-431-9555
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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 | U80826
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | B75077
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | I03555
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License Number State | CA
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