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General NPI Number Information
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NPI Number | 1609054998
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Entity Type | Organization
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Legal Business Name | ROBERT D. WILLIAMS, M.D., P.C.
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 1288 W 12700 S
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City | RIVERTON
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State | UT
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Zip | 84065-6794
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Country | US
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Telephone | 801-253-0291
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Fax | 801-446-2745
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Provider Business Mailing Address
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Address Line | P. O. BOX 1010
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City | RIVERTON
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State | UT
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Zip | 84065
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Country | US
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Telephone | 801-253-0291
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Fax | 801-446-2745
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ROBERT D. WILLIAMS
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Credential | M.D.
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Telephone | 801-253-0291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1885221205
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License Number State | UT
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