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General NPI Number Information
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NPI Number | 1588765887
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Entity Type | Organization
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Legal Business Name | WILLIS J. MERIWETHER, DMD, PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 600 A UNIVERSITY BLVD EAST
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City | TUSCALOOSA
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State | AL
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Zip | 35401
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Country | US
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Telephone | 205-345-3252
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Fax | 205-345-3265
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Provider Business Mailing Address
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Address Line | 600 A UNIVERSITY BLVD EAST
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City | TUSCALOOSA
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State | AL
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Zip | 35401
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Country | US
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Telephone | 205-345-3252
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Fax | 205-345-3265
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIS J MERIWETHER
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Credential | DMD
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Telephone | 205-345-3252
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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 | 3352
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License Number State | AL
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