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General NPI Number Information
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NPI Number | 1578947669
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Entity Type | Organization
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Legal Business Name | WILLIAMS WILLIAMS & WYATT GENERAL PARTNERSHIP
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 300 W BOYD DR
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City | ALLEN
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State | TX
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Zip | 75013-2518
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Country | US
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Telephone | 972-727-3941
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Fax | 972-727-4352
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Provider Business Mailing Address
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Address Line | 300 W BOYD DR
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City | ALLEN
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State | TX
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Zip | 75013-2518
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Country | US
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Telephone | 972-727-3941
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Fax | 972-727-4352
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. JEFFREY NATHANIEL WILLIAMS
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Credential | D.D.S.
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Telephone | 972-727-3941
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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 | 18761
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License Number State | TX
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