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General NPI Number Information
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NPI Number | 1619595618
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Entity Type | Individual
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Provider Name | ALLISON JERRI WILLIAMS DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 801 SUNSET DR # E5
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City | JOHNSON CITY
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State | TN
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Zip | 37604-3033
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Country | US
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Telephone | 423-282-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 801 SUNSET DR # E5
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City | JOHNSON CITY
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State | TN
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Zip | 37604-3033
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Country | US
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Telephone | 423-282-2333
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401416905
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 11267
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License Number State | TN
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